Healthcare Provider Details

I. General information

NPI: 1235062035
Provider Name (Legal Business Name): ANALEIGH SAGE NELSON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/03/2026
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8919 JEFFERSON ISLAND RD
NEW IBERIA LA
70560-9250
US

IV. Provider business mailing address

PO BOX 679
DELCAMBRE LA
70528-0679
US

V. Phone/Fax

Practice location:
  • Phone: 337-321-2465
  • Fax:
Mailing address:
  • Phone: 337-321-2465
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: