Healthcare Provider Details

I. General information

NPI: 1407781768
Provider Name (Legal Business Name): LITTLE ITALY FAMILY PRACTICE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2026
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

312 E RAILROAD AVE
INDEPENDENCE LA
70443-2710
US

IV. Provider business mailing address

312 E RAILROAD AVE
INDEPENDENCE LA
70443-2710
US

V. Phone/Fax

Practice location:
  • Phone: 985-878-4183
  • Fax:
Mailing address:
  • Phone: 985-878-4183
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MALAINA SIBLEY
Title or Position: OWNER
Credential: FNP
Phone: 985-351-0450