Healthcare Provider Details

I. General information

NPI: 1528080322
Provider Name (Legal Business Name): KRISTINA MARIE MARCHAND NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/24/2006
Last Update Date: 05/16/2024
Certification Date: 05/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4429 CLARA ST STE 440
NEW ORLEANS LA
70115-6973
US

IV. Provider business mailing address

4429 CLARA ST STE 440
NEW ORLEANS LA
70115-6973
US

V. Phone/Fax

Practice location:
  • Phone: 504-842-9618
  • Fax: 504-842-9623
Mailing address:
  • Phone: 504-842-9618
  • Fax: 504-842-9623

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN082577 AP03663
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: