Healthcare Provider Details
I. General information
NPI: 1558468850
Provider Name (Legal Business Name): YSONDE MARIA HOBBS NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 09/20/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4103 LAC COUTURE DR.
HARVEY LA
70058
US
IV. Provider business mailing address
1314 NAPOLEON AVE UNIT 4
NEW ORLEANS LA
70115-3956
US
V. Phone/Fax
- Phone: 504-361-7027
- Fax: 504-368-9223
- Phone: 504-368-9341
- Fax: 504-368-9223
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | RN046401 |
| License Number State | LA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | AP03147 |
| License Number State | LA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: