Provider Demographics
NPI:1841892189
Name:NEALE, HERMAN
Entity type:Individual
Prefix:
First Name:HERMAN
Middle Name:
Last Name:NEALE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7809 AIRLINE DR STE 306E
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70003-6455
Mailing Address - Country:US
Mailing Address - Phone:833-674-2566
Mailing Address - Fax:
Practice Address - Street 1:7809 AIRLINE DR STE 306E
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70003-6455
Practice Address - Country:US
Practice Address - Phone:833-674-2566
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-11
Last Update Date:2020-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA153154163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse