Healthcare Provider Details

I. General information

NPI: 1194385740
Provider Name (Legal Business Name): NOEL MARIE NETZHAMMER AU.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/17/2019
Last Update Date: 11/24/2025
Certification Date: 11/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9300 VALLEY CHILDRENS PL
MADERA CA
93636-8761
US

IV. Provider business mailing address

5025 KEYSTONE BLVD SUITE 100
COVINGTON LA
70433
US

V. Phone/Fax

Practice location:
  • Phone: 504-353-8229
  • Fax:
Mailing address:
  • Phone: 504-896-3912
  • Fax: 504-962-7048

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number10033
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number3410
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: