Healthcare Provider Details

I. General information

NPI: 1437828969
Provider Name (Legal Business Name): HANNAH ELIZABETH RODDENBERRY APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/08/2021
Last Update Date: 03/20/2025
Certification Date: 03/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3421 N CAUSEWAY BLVD STE 102
METAIRIE LA
70002-3711
US

IV. Provider business mailing address

3421 N CAUSEWAY BLVD STE 102
METAIRIE LA
70002-3711
US

V. Phone/Fax

Practice location:
  • Phone: 504-455-9933
  • Fax:
Mailing address:
  • Phone: 504-455-9933
  • Fax: 504-888-8221

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0032069
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11015056
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number237016
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: