Healthcare Provider Details

I. General information

NPI: 1154067155
Provider Name (Legal Business Name): WELLNESS INSTITUTE OF NEPHROLOGY, LLC (WIN)
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2022
Last Update Date: 04/04/2023
Certification Date: 04/04/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 W ESPLANADE AVE STE 305
KENNER LA
70065-2474
US

IV. Provider business mailing address

26 PLATT ST
KENNER LA
70065-1065
US

V. Phone/Fax

Practice location:
  • Phone: 504-464-8712
  • Fax: 504-464-8711
Mailing address:
  • Phone: 504-939-3640
  • Fax: 504-469-7138

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. MALIKA MORSE
Title or Position: OWNER/PHYSICIAN
Credential: MD
Phone: 504-939-3640