Healthcare Provider Details

I. General information

NPI: 1871958447
Provider Name (Legal Business Name): MS. CARMEN VERLONURE NELSON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/23/2015
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4825 LONELY OAK DR
NEW ORLEANS LA
70126-4231
US

IV. Provider business mailing address

4825 LONELY OAK DR
NEW ORLEANS LA
70126-4231
US

V. Phone/Fax

Practice location:
  • Phone: 504-912-6064
  • Fax:
Mailing address:
  • Phone: 504-762-0237
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: