1184887705 NPI number — MRS. RHONDA LYN FLEISHMANN ACNP

Table of content: MRS. RHONDA LYN FLEISHMANN ACNP (NPI 1184887705)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1184887705 NPI number — MRS. RHONDA LYN FLEISHMANN ACNP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
FLEISHMANN
Provider First Name:
RHONDA
Provider Middle Name:
LYN
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
ACNP
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:
1184887705
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/03/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3800 HOUMA BLVD
Provider Second Line Business Mailing Address:
SUITE 325
Provider Business Mailing Address City Name:
METAIRIE
Provider Business Mailing Address State Name:
LA
Provider Business Mailing Address Postal Code:
70006-4182
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
504-888-7111
Provider Business Mailing Address Fax Number:
504-888-6655

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3800 HOUMA BLVD
Provider Second Line Business Practice Location Address:
SUITE 325
Provider Business Practice Location Address City Name:
METAIRIE
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70006-4182
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
504-888-7111
Provider Business Practice Location Address Fax Number:
504-888-6655
Provider Enumeration Date:
07/03/2008

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: 363LA2100X , with the licence number:  RN081746 AP03564 , 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: RN081746 AP03564 . This is a "NP,PRES" identifier , issued by the state of ( LA ) . This identifiers is of the category "OTHER".




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