1669862801 NPI number — MS. KAREN SPENCER FNP

Table of content: MS. KAREN SPENCER FNP (NPI 1669862801)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1669862801 NPI number — MS. KAREN SPENCER FNP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SPENCER
Provider First Name:
KAREN
Provider Middle Name:
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
FNP
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:
1669862801
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/05/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4204 HOUMA BLVD
Provider Second Line Business Mailing Address:
FL 2
Provider Business Mailing Address City Name:
METAIRIE
Provider Business Mailing Address State Name:
LA
Provider Business Mailing Address Postal Code:
70006-2903
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
504-883-2968
Provider Business Mailing Address Fax Number:
504-883-2973

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4204 HOUMA BLVD
Provider Second Line Business Practice Location Address:
FL 2
Provider Business Practice Location Address City Name:
METAIRIE
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70006-2903
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
504-883-2968
Provider Business Practice Location Address Fax Number:
504-883-2973
Provider Enumeration Date:
01/26/2015

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: 363LF0000X , with the licence number:  AP08024 , 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: 2386697 , issued by the state of ( LA ) . This identifiers is of the category "MEDICAID".




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