Doctor Name: | WENDY ANDERSON MCNAMARA |
NPI Number: | 1215168786 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | 2094 |
Business Practice Address: | 112 Gabrielle Ln Destrehan, LA - 700473019 |
Business Phone Number: | 9857641775 |
Business Fax Number: | |
Mailing Address: | 112 Gabrielle Ln, DESTREHAN |
State: | LA |
Postal Code: | 700473019 |
Phone Number: | 5042611989 |
Fax Number: | 9857641775 |
NPI Enumeration Date: | 08/02/2009 |
NPI Last Update Date: | 08/02/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 2094 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |