Individual provider · NPI-1

Olivia Goldsen Ford

Community Health Worker · New Orleans, LA

NPI number1255913620
StatusActive
Last updated in NPPESApr 26, 2021

Details

NPI
1255913620
Entity type
Individual (NPI-1)
Name
Olivia Goldsen Ford
Sex
Female
Sole proprietor
No
Enumeration date
Apr 26, 2021
Certification date
Apr 26, 2021
Last updated
Apr 26, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
172V00000X Community Health Worker––Yes
174H00000X Health Educator––
374J00000X Doula––

Practice location

6100 Canal Blvd
New Orleans, LA 70124-3001

Phone 504-515-1243

Mailing address

6100 Canal Blvd
New Orleans, LA 70124-3001

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