Healthcare Provider Details

I. General information

NPI: 1629441282
Provider Name (Legal Business Name): CALLIE ESTES ROTHWELL APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/04/2015
Last Update Date: 07/08/2025
Certification Date: 07/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3225 DANNY PARK STE 100
METAIRIE LA
70002-5751
US

IV. Provider business mailing address

1151 BARATARIA BLVD STE 3100
MARRERO LA
70072-3083
US

V. Phone/Fax

Practice location:
  • Phone: 504-934-8461
  • Fax: 504-371-3811
Mailing address:
  • Phone: 504-934-8462
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP08478
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: