Pellegrin, Virginia M

Pellegrin, Virginia M is an individual health care provider with primary practice located at 509 Dunn St , Houma LA 70360-4705. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as his primary health care specialty. Pellegrin, Virginia M can be contacted via phone (985) 876-1714.

Contact Information

Primary practice address
509 Dunn St Houma LA 70360-4705
Phone: (985) 876-1714
Fax: (985) 868-6549
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X RN086560 Louisiana

Profile Details

NPI number 1063426047
LBN Legal business name Pellegrin, Virginia M
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2006
Last updated Apr 14th, 2008 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063426047 NPPES
Louisiana MEDICAID 1537667

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