Healthcare Provider Details

I. General information

NPI: 1902553613
Provider Name (Legal Business Name): ANNA PRICE FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/03/2022
Last Update Date: 03/03/2022
Certification Date: 03/03/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

217 CHEROKEE ROSE LN
COVINGTON LA
70433-7201
US

IV. Provider business mailing address

217 CHEROKEE ROSE LN
COVINGTON LA
70433-7201
US

V. Phone/Fax

Practice location:
  • Phone: 985-893-0911
  • Fax: 985-875-7565
Mailing address:
  • Phone: 985-893-0911
  • Fax: 985-875-7565

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number224253
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: