Healthcare Provider Details

I. General information

NPI: 1548708985
Provider Name (Legal Business Name): ALYSSA MARIE VIET VU APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/06/2017
Last Update Date: 10/25/2024
Certification Date: 10/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1055 DAVID DR
MORGAN CITY LA
70380-1317
US

IV. Provider business mailing address

1055 DAVID DR
MORGAN CITY LA
70380-1317
US

V. Phone/Fax

Practice location:
  • Phone: 985-384-2430
  • Fax: 985-384-2473
Mailing address:
  • Phone: 985-384-2430
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WM0102X
TaxonomyMaternal Newborn Registered Nurse
License NumberRN138458
License Number StateLA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number227388
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: