| Doctor Name: | ANGELLE AMEDEE |
| NPI Number: | 1043590714 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | R.N. |
| License Number: | RN116222 |
| Business Practice Address: | 1809 W Airline Hwy La Place, LA - 700683336 |
| Business Phone Number: | 9856528444 |
| Business Fax Number: | |
| Mailing Address: | 1809 W Airline Hwy, LA PLACE |
| State: | LA |
| Postal Code: | 700683336 |
| Phone Number: | 9856528444 |
| Fax Number: | |
| NPI Enumeration Date: | 08/25/2011 |
| NPI Last Update Date: | 08/25/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0808X |
| License Number: | RN116222 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |