Healthcare Provider Details

I. General information

NPI: 1568862142
Provider Name (Legal Business Name): ANN ONSTAD NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/02/2014
Last Update Date: 03/30/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 4TH STREET
WESTWEGO LA
70094-3320
US

IV. Provider business mailing address

300 4TH ST
WESTWEGO LA
70094-3320
US

V. Phone/Fax

Practice location:
  • Phone: 504-341-0645
  • Fax: 504-341-0689
Mailing address:
  • Phone: 504-341-0645
  • Fax: 504-341-0689

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP08012
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: