Healthcare Provider Details

I. General information

NPI: 1477927150
Provider Name (Legal Business Name): DENISE OGUINN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/18/2015
Last Update Date: 11/18/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

931 WESTWOOD DR
MARRERO LA
70072-2400
US

IV. Provider business mailing address

2978 BEHRMAN HWY
NEW ORLEANS LA
70114-7904
US

V. Phone/Fax

Practice location:
  • Phone: 504-340-8880
  • Fax:
Mailing address:
  • Phone: 504-952-8000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number6487
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: