Healthcare Provider Details

I. General information

NPI: 1841625241
Provider Name (Legal Business Name): AARON F RICHARD RN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/05/2013
Last Update Date: 09/11/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2626 CHARLES DR
CHALMETTE LA
70043-3779
US

IV. Provider business mailing address

6951 ARGONNE BLVD
NEW ORLEANS LA
70124-4026
US

V. Phone/Fax

Practice location:
  • Phone: 504-278-4006
  • Fax: 504-278-4007
Mailing address:
  • Phone: 504-655-4294
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number131081
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: