Provider Demographics
NPI:1245935501
Name:SALZER, STEPHANIE TUFTS
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:TUFTS
Last Name:SALZER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:STEPHANIE
Other - Middle Name:ANN
Other - Last Name:TUFTS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4427 TRUDY AVE
Mailing Address - Street 2:
Mailing Address - City:JEFFERSON
Mailing Address - State:LA
Mailing Address - Zip Code:70121-1324
Mailing Address - Country:US
Mailing Address - Phone:504-715-7404
Mailing Address - Fax:
Practice Address - Street 1:3800 HOUMA BLVD STE 325
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70006-4184
Practice Address - Country:US
Practice Address - Phone:504-855-7337
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-04
Last Update Date:2023-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant