Healthcare Provider Details

I. General information

NPI: 1205442613
Provider Name (Legal Business Name): AURIEL HULIN-ATWATER PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/21/2020
Last Update Date: 11/06/2023
Certification Date: 11/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2600 BELLE CHASSE HWY # B2
TERRYTOWN LA
70056-7156
US

IV. Provider business mailing address

4317 COLORADO AVE
KENNER LA
70065-1323
US

V. Phone/Fax

Practice location:
  • Phone: 504-349-2273
  • Fax:
Mailing address:
  • Phone: 504-655-1864
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: