MEDICARE: CASEY H SAAVEDRA FNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	TAP003173	LA

General Provider Information

NPI Number	:	1023440385
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CASEY H SAAVEDRA FNP

Provider Business Mailing Address
First Line	:	3713 PALMISANO BLVD
Second Line	:
City	:	CHALMETTE
State	:	LA
Zip	:	70043-1592
Country	:	US
Telephone Number	:	504-905-8575
Fax Number	:

Provider Business Practice Location Address
First Line	:	3713 PALMISANO BLVD
Second Line	:
City	:	CHALMETTE
State	:	LA
Zip	:	70043-1592
Country	:	US
Telephone Number	:	504-905-8575
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/08/2013
Last Update Date	:	01/16/2026

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