MEDICARE: ORLEANS FAMILY PRACTICE, 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	261QC1500X	Community Health Clinic/Center

General Provider Information

NPI Number	:	1508161068
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ORLEANS FAMILY PRACTICE, LLC

Provider Business Mailing Address
First Line	:	6900 BAMBERRY ST
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70126-2714
Country	:	US
Telephone Number	:	504-208-8467
Fax Number	:	504-975-6047

Provider Business Practice Location Address
First Line	:	9970 LAKE FOREST BLVD
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70127-2609
Country	:	US
Telephone Number	:	504-208-8467
Fax Number	:	504-975-6047

Authorized Official
Title or Position	:	FAMILY NURSE PRACTITIONER
Name	:	MRS. ANGELA MARIE BRADLEY-BYERS
Credential	:	FNP
Telephone Number	:	504-606-6363

Provider Enumeration Date	:	01/13/2011
Last Update Date	:	12/03/2021

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Directions to “ORLEANS FAMILY PRACTICE, LLC ” Practice Location

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