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NPI Code Detail

MEDICARE: MRS. CYNTHIA P BERFECT-SHELBY NP

MEDICARE: MRS. CYNTHIA P BERFECT-SHELBY NP
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
1363LF0000XFamily Nurse PractitionerRN071258 AP03506LA

General Provider Information

NPI Number : 1518077734
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CYNTHIA P BERFECT-SHELBY NP
Provider Business Mailing Address
First Line : 3800 WOODBRIAR DR
Second Line :
City : HARVEY
State : LA
Zip : 70058-1937
Country : US
Telephone Number : 504-340-6732
Fax Number :
Provider Business Practice Location Address
First Line : 1601 PERDIDO ST
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70112-1262
Country : US
Telephone Number : 504-568-0811
Fax Number : 504-310-6232
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2006
Last Update Date : 07/08/2007

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