Organization · Type 2 NPI

Nola 504 NP LLC

Nurse Practitioner · New Orleans, LA

NPI number 1174410971 Active

Practice location

2832 Burdette St
New Orleans, LA 70125-2514

Mailing address

601 Manson Ave
Metairie, LA 70001-4826

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XNone listed

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1174410971

Nola 504 NP LLC's National Provider Identifier is 1174410971, issued on Jun 23, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in New Orleans, LA. The record was last updated on Nov 25, 2025.