Healthcare Provider Details

I. General information

NPI: 1902678733
Provider Name (Legal Business Name): MELINDA A LEVI FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/25/2023
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6450 LA HIGHWAY 1 STE B
BATCHELOR LA
70715-3212
US

IV. Provider business mailing address

PO BOX 121
LETTSWORTH LA
70753-0121
US

V. Phone/Fax

Practice location:
  • Phone: 225-618-5015
  • Fax: 225-442-3107
Mailing address:
  • Phone: 225-718-9380
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number232544
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: