RENEW PODIATRY FOOTCARE AND AESTHETICS MEDSPA LLC NPI 1063877504

NPI Information

NPI: 1063877504
Provider Name: RENEW PODIATRY FOOTCARE AND AESTHETICS MEDSPA LLC
Classification: Clinic/Center - 261QP1100X
Entity Type: Organization

Specialization: Podiatric

Address:
7501 TRAPIER AVE
NEW ORLEANS, LA
ZIP 70127
Phone: (504) 231-7147
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RENEW PODIATRY FOOTCARE AND AESTHETICS MEDSPA LLC is a podiatric clinic center in New Orleans, LA. RENEW PODIATRY FOOTCARE AND AESTHETICS MEDSPA LLC NPI is 1063877504. The provider is registered as an organization entity type.

The provider's business location address is:

7501 TRAPIER AVE
NEW ORLEANS, LA
ZIP 70127-639
Phone: (504) 231-7147

The provider's authorized official is Gabrielle Sharon Clark .
The authorized official title is Podiatrist and has the following contact phone number (504) 231-7147.

The enumeration date for this NPI number is 12/29/2015 and was last updated on 12/29/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP1100X	Clinic/Center	Podiatric	SC006698	PENNSYLVANIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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