Licciardi, Paula S
Licciardi, Paula S is an individual health care provider with primary practice located at 410 W Judge Perez Dr , Chalmette LA 70043-4906. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Licciardi, Paula S can be contacted via phone (504) 249-5187.Contact Information
Primary practice address
410 W Judge Perez Dr
Chalmette LA 70043-4906
Phone: (504) 249-5187
Fax: (504) 304-9951
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | RN073519 | Louisiana |
Profile Details
| NPI number | 1033305925 |
|---|---|
| LBN Legal business name | Licciardi, Paula S |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 24th, 2007 |
| Last updated | Apr 18th, 2018 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033305925 | NPPES |
| Louisiana | Other | 19D1083407 | CLIA CERTIFICATE OF WAVIER |
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