Provider Demographics
NPI:1356872097
Name:BLISS, NATALIE ANNE (MD)
Entity type:Individual
Prefix:DR
First Name:NATALIE
Middle Name:ANNE
Last Name:BLISS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:NATALIE
Other - Middle Name:ANNE
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2529 JENA ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70115-6322
Mailing Address - Country:US
Mailing Address - Phone:504-222-2497
Mailing Address - Fax:504-226-0817
Practice Address - Street 1:2529 JENA ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70115-6322
Practice Address - Country:US
Practice Address - Phone:504-222-2497
Practice Address - Fax:504-226-0817
Is Sole Proprietor?:No
Enumeration Date:2017-03-24
Last Update Date:2024-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA3095592084P0800X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry