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NPI Code Detail

MEDICARE: MRS. DANI LEIGH PREST FNP-C

MEDICARE: MRS. DANI LEIGH PREST FNP-C
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
1363LF0000XFamily Nurse PractitionerAP08870LA

General Provider Information

NPI Number : 1467905299
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DANI LEIGH PREST FNP-C
Provider Business Mailing Address
First Line : 2900 INDIANA AVE
Second Line :
City : KENNER
State : LA
Zip : 70065-4605
Country : US
Telephone Number : 985-307-1600
Fax Number : 504-575-3691
Provider Business Practice Location Address
First Line : 8200 HIGHWAY 23
Second Line :
City : BELLE CHASSE
State : LA
Zip : 70037-2607
Country : US
Telephone Number : 985-307-1600
Fax Number : 504-575-3691
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2016
Last Update Date : 04/28/2017

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