=====================================================
General NPI Number Information
=====================================================
NPI Number | 1528080322
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | KRISTINA MARIE MARCHAND NP
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/24/2006
-----------------------------------------------------
Last Update Date | 05/16/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4429 CLARA ST STE 440
-----------------------------------------------------
City | NEW ORLEANS
-----------------------------------------------------
State | LA
-----------------------------------------------------
Zip | 70115-6973
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 504-842-9618
-----------------------------------------------------
Fax | 504-842-9623
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4429 CLARA ST STE 440
-----------------------------------------------------
City | NEW ORLEANS
-----------------------------------------------------
State | LA
-----------------------------------------------------
Zip | 70115-6973
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 504-842-9618
-----------------------------------------------------
Fax | 504-842-9623
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number | RN082577 AP03663
-----------------------------------------------------
License Number State | LA
-----------------------------------------------------