Organization Name: | C & D TOTAL HEALTH CARE, LLC |
NPI Number: | 1104220938 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DEANNA QUINN-STEVENSON (NURSE PRACTITIONER) |
Mailing Address: | 1417 Drake Ln Gretna |
State: | LA US |
Postal Code: | 700567784 |
Phone Number: | 5043191519 |
Fax Number: | |
NPI Enumeration Date: | 10/22/2014 |
NPI Last Update Date: | 10/22/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | AP04705 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | LA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |