MEDICARE: NOLA NESTING LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374J00000X	Doula

General Provider Information

NPI Number	:	1427915198
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NOLA NESTING LLC

Provider Business Mailing Address
First Line	:	4628 DEMONTLUZIN ST
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70122-6104
Country	:	US
Telephone Number	:	504-655-1819
Fax Number	:

Provider Business Practice Location Address
First Line	:	4628 DEMONTLUZIN ST
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70122-6104
Country	:	US
Telephone Number	:	504-655-1819
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MS. AMANDA DEVEREUX
Credential	:	RN, IBCLC, DOULA
Telephone Number	:	504-655-1819

Provider Enumeration Date	:	01/06/2026
Last Update Date	:	01/06/2026

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