Healthcare Provider Details

I. General information

NPI: 1306364245
Provider Name (Legal Business Name): CARLNETTA RABB FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/30/2017
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4809 WICHERS DR
MARRERO LA
70072-3026
US

IV. Provider business mailing address

PO BOX 1089
HAMMOND LA
70404-1089
US

V. Phone/Fax

Practice location:
  • Phone: 504-595-3610
  • Fax: 800-878-1442
Mailing address:
  • Phone: 985-892-7070
  • Fax: 985-892-7017

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP09576
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: