Pfingstag, Constance Shannon
Pfingstag, Constance Shannon is an individual health care provider with primary practice located at 4636 S Claiborne Ave , New Orleans LA 70125-5010. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Pfingstag, Constance Shannon can be contacted via phone (504) 589-7092.Contact Information
Primary practice address
4636 S Claiborne Ave
New Orleans LA 70125-5010
Phone: (504) 589-7092
Fax: (404) 494-7435
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | 831070 | Texas |
| Nursing Service Providers / Registered Nurse | 163W00000X | RN110834 | Louisiana |
| Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | R885174 | Mississippi |
| Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | AP123461 | Texas |
| Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | AP04601 | Louisiana |
Profile Details
| NPI number | 1821128851 |
|---|---|
| LBN Legal business name | Pfingstag, Constance Shannon |
| Credentials | Certified Nurse Midwife (CNM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 7th, 2007 |
| Last updated | Sep 18th, 2019 - about 5 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 | 1821128851 | NPPES |
| Mississippi | MEDICAID | 04786741 | |
| Mississippi | MEDICAID | 3300493-01 | |
| Mississippi | MEDICAID | 1456535 |
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