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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

HALEY THERESA PONTIFF, RN, BSN, DIPACLM

Active Sole Proprietor

HALEY THERESA PONTIFF, RN, BSN, DIPACLM is a Nutrition Support Nurse healthcare provider located in METAIRIE, Louisiana. NPI 1225647555 is currently active in the NPPES registry. Verify at CMS.

Nutrition Support Nurse · METAIRIE, LA

Registration Details

NPI Number
1225647555
Provider Type
Individual
Gender
Female
NPI Issued
Jul 22, 2020 (6.0934008129974 yrs)
Last Updated
Jul 22, 2020
License
RN137442 (LA)
Sole Proprietor
Yes

Practice Information

Address
4921 AIRLINE DR
METAIRIE, LA, 700015664
Browse LA providers · Browse ZIP 70001
Phone
5042175319
Primary Specialty
Nutrition Support Nurse
163WN1003X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.