Provider Demographics
NPI:1811768344
Name:RELIFORD, VANESSA MICHELLE (FNP-C)
Entity type:Individual
Prefix:MS
First Name:VANESSA
Middle Name:MICHELLE
Last Name:RELIFORD
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1108 BELMONT PL
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70001-3707
Mailing Address - Country:US
Mailing Address - Phone:601-914-9620
Mailing Address - Fax:601-914-9620
Practice Address - Street 1:1108 BELMONT PL
Practice Address - Street 2:METAIRIE
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70601-3339
Practice Address - Country:US
Practice Address - Phone:601-914-9620
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-12
Last Update Date:2024-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA232476363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily