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General NPI Number Information
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NPI Number | 1396002176
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Entity Type | Individual
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Provider Name | QUIANA SADE NICKELBERRY-ALEXANDER FNP-C
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Gender | Female
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Dates
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Enumeration Date | 04/18/2012
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Last Update Date | 04/22/2026
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Provider Practice Location Address
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Address Line | 1 GALLERIA BLVD # 1926
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City | METAIRIE
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State | LA
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Zip | 70001-2082
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Country | US
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Telephone | 504-977-1278
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Fax | 206-586-8490
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Provider Business Mailing Address
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Address Line | 9562 RAINTREE LN
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City | WESTWEGO
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State | LA
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Zip | 70094-3184
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Country | US
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Telephone | 504-223-4848
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 243191
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License Number State | LA
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