Diedra Brewer-Hohensee
Individual provider Active NPI Dental Hygienist · New Orleans, LA
NPI 1669906251 · NPPES record last updated Apr 20, 2017
Key facts
- NPI
- 1669906251
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dental Hygienist 124Q00000X
- License
- 3258 (LA)
- Practice address
- 1100 Florida Ave
New Orleans, LA 70119-2715 - Phone
- (504) 941-8148
- Fax
- (504) 941-8154
- NPI assigned
- Apr 20, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3258 | LA | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 3258 | LA | Yes |
Addresses
Primary practice location
1100 Florida Ave
New Orleans, LA 70119-2715
Mailing address
1532 Stella PL
Marrero, LA 70072-3634
Phone (504) 941-8148
Other providers in New Orleans, LA
- Ryan Brennan
- Ronnie R Brenner
- Jeannette Brent
- Rachel Brettingham
- Anna Rebecca Breuer
- Jeremy Brewer
- Cecelia Cody Brewington
- Sarah Elizabeth Brewington
- Christopher George Brewster
- Anne-Elise Taylor Brian
All providers in New Orleans, LA · Dental Hygienist in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 20, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.