Healthcare Provider Details

I. General information

NPI: 1033930672
Provider Name (Legal Business Name): DAVID PINTOR BAUDIL RN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/17/2024
Last Update Date: 10/17/2024
Certification Date: 10/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2800 PERDIDO ST
NEW ORLEANS LA
70119
US

IV. Provider business mailing address

5921 W METAIRIE AVE
METAIRIE LA
70003-4245
US

V. Phone/Fax

Practice location:
  • Phone: 504-202-9371
  • Fax:
Mailing address:
  • Phone: 504-616-0887
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WI0500X
TaxonomyInfusion Therapy Registered Nurse
License NumberRN145925
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code163WH0500X
TaxonomyHemodialysis Registered Nurse
License NumberRN145925
License Number StateLA
# 3
Primary TaxonomyN
Taxonomy Code163WM0705X
TaxonomyMedical-Surgical Registered Nurse
License NumberRN145925
License Number StateLA
# 4
Primary TaxonomyY
Taxonomy Code163WX0200X
TaxonomyOncology Registered Nurse
License NumberRN145925
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: