Healthcare Provider Details
I. General information
NPI: 1699076810
Provider Name (Legal Business Name): ANNE DOLORES TROY FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 11/04/2010
Last Update Date: 09/26/2016
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1101 CALHOUN ST
NEW ORLEANS LA
70118
US
IV. Provider business mailing address
200 HENRY CLAY AVE
NEW ORLEANS LA
70118-5720
US
V. Phone/Fax
- Phone: 504-896-9237
- Fax: 504-896-9733
- Phone: 504-899-9511
- Fax: 504-896-9733
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| License Number | AP02480 |
| License Number State | LA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: