Healthcare Provider Details

I. General information

NPI: 1144836115
Provider Name (Legal Business Name): WHITNEY LASHUA NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/16/2020
Last Update Date: 04/21/2023
Certification Date: 04/21/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15813 PAUL VEGA MD DR STE 401A
HAMMOND LA
70403-1426
US

IV. Provider business mailing address

PO BOX 2668 HEALTH SYSTEM FINANCIAL SERVICES - CREDENTIALING
HAMMOND LA
70404-2668
US

V. Phone/Fax

Practice location:
  • Phone: 985-230-1580
  • Fax: 985-230-1855
Mailing address:
  • Phone: 985-230-1682
  • Fax: 985-230-6652

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number215616
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number215616
License Number StateLA
# 3
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number215616
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: