Healthcare Provider Details

I. General information

NPI: 1982164596
Provider Name (Legal Business Name): ELIZABETH GRINTON HART NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ELIZABETH EILEEN GRINTON

II. Dates (important events)

Enumeration Date: 03/20/2019
Last Update Date: 04/27/2021
Certification Date: 04/27/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2700 NAPOLEON AVE
NEW ORLEANS LA
70115-6914
US

IV. Provider business mailing address

2700 NAPOLEON AVE
NEW ORLEANS LA
70115-6914
US

V. Phone/Fax

Practice location:
  • Phone: 504-842-4151
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WW0101X
TaxonomyAmbulatory Women's Health Care Registered Nurse
License NumberRN143407
License Number StateLA
# 2
Primary TaxonomyY
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License Number217994
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: