Healthcare Provider Details

I. General information

NPI: 1427875681
Provider Name (Legal Business Name): MADELINE CUEVAS RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/20/2024
Last Update Date: 09/20/2024
Certification Date: 09/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2400 CANAL ST
NEW ORLEANS LA
70119-6535
US

IV. Provider business mailing address

7707 JEANNETTE ST
NEW ORLEANS LA
70118-4065
US

V. Phone/Fax

Practice location:
  • Phone: 504-507-2000
  • Fax:
Mailing address:
  • Phone: 228-669-5854
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License NumberRN158637
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: