Healthcare Provider Details
I. General information
NPI: 1205244506
Provider Name (Legal Business Name): CHRISTINA LOWRY HASTINGS FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/30/2014
Last Update Date: 06/28/2016
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1000 OCHSNER BLVD
COVINGTON LA
70433-8107
US
IV. Provider business mailing address
1514 JEFFERSON HWY
NEW ORLEANS LA
70121-2429
US
V. Phone/Fax
- Phone: 985-875-2828
- Fax: 985-875-2780
- Phone: 504-842-4000
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | AP126027 |
| License Number State | TX |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | AP08752 |
| License Number State | LA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: