| Nightwater Health Of Louisiana, Inc | |
|
719 Okeefe Ave New Orleans LA 70113-1906 | |
| (504) 381-4204 | |
| Not Available |
| Full Name | Nightwater Health Of Louisiana, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 719 Okeefe Ave, New Orleans, Louisiana |
| Authorized Official Name and Position | Paul Ikemire (CMO) |
| Authorized Official Contact | 5047173050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nightwater Health Of Louisiana, Inc 111 Water St Ste 4 Exeter NH 03833-2456 Ph: (504) 717-3050 | Nightwater Health Of Louisiana, Inc 719 Okeefe Ave New Orleans LA 70113-1906 Ph: (504) 381-4204 |
| NPI Number | 1821742040 |
|---|---|
| Provider Enumeration Date | 02/07/2022 |
| Last Update Date | 12/03/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821742040 | NPI | - | NPPES |
| MD.205087 | Other | LA | LSMBE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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