Healthcare Provider Details

I. General information

NPI: 1669635561
Provider Name (Legal Business Name): PATRICIA ANN CHATHAM ACNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2008
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1450 POYDRAS ST
NEW ORLEANS LA
70112-6010
US

IV. Provider business mailing address

1520 CRESCENT DR.
NEW ORLEANS LA
70122
US

V. Phone/Fax

Practice location:
  • Phone: 504-427-2011
  • Fax:
Mailing address:
  • Phone: 504-288-5201
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SA2100X
TaxonomyAcute Care Clinical Nurse Specialist
License NumberAP03501
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: