1801995824 NPI number — DR. DENISE MARIE ROUBION-JOHNSON DRNP

Table of content: DR. DENISE MARIE ROUBION-JOHNSON DRNP (NPI 1801995824)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1801995824 NPI number — DR. DENISE MARIE ROUBION-JOHNSON DRNP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ROUBION-JOHNSON
Provider First Name:
DENISE
Provider Middle Name:
MARIE
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
DRNP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1801995824
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/26/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6110 EAST MUIRFIELD CR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NEW ORLEANS
Provider Business Mailing Address State Name:
LA
Provider Business Mailing Address Postal Code:
70128-3649
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
504-874-6754
Provider Business Mailing Address Fax Number:
504-874-6754

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2025 GRAVIER ST
Provider Second Line Business Practice Location Address:
4T FLOOR
Provider Business Practice Location Address City Name:
NEW ORLEANS
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70112
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
504-903-2452
Provider Business Practice Location Address Fax Number:
504-903-2452
Provider Enumeration Date:
09/22/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 163W00000X , with the licence number:  RN056624 , registered in the state of LA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 363LA2200X , with the licence number: AP02231 , registered in the state of LA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: RN056624 . This is a "LA BOARD OF NURSING" identifier , issued by the state of ( LA ) . This identifiers is of the category "OTHER".




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