Basic Information
Provider Information
NPI: 1386235828
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HILLEBRANDT
FirstName: ALLISON
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: APRN, CNM
OtherOrganizationName:  
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OtherLastName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1449 RUE DES CHENE
Address2:  
City: WESTLAKE
State: LA
PostalCode: 706694107
CountryCode: US
TelephoneNumber: 3372638843
FaxNumber:  
Practice Location
Address1: 1514 JEFFERSON HWY
Address2:  
City: NEW ORLEANS
State: LA
PostalCode: 701212429
CountryCode: US
TelephoneNumber: 5048424021
FaxNumber:  
Other Information
ProviderEnumerationDate: 01/28/2021
LastUpdateDate: 01/28/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 01/28/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
176B00000X  N Other Service ProvidersMidwife 
367A00000X  Y Physician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife 

No ID Information.


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