MEDICARE: ALISON BORDELON NOLAN APRN, MN, 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
1	363LF0000X	Family Nurse Practitioner	RN089739 AP04522	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1982609764
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALISON BORDELON NOLAN APRN, MN, FNP-C

Provider Business Mailing Address
First Line	:	7015 HIGHWAY 190 EAST SERVICE RD
Second Line	:	SUITE 200
City	:	COVINGTON
State	:	LA
Zip	:	70433-4960
Country	:	US
Telephone Number	:	985-234-3000
Fax Number	:

Provider Business Practice Location Address
First Line	:	7015 HIGHWAY 190 EAST SERVICE RD
Second Line	:	SUITE 200
City	:	COVINGTON
State	:	LA
Zip	:	70433-4960
Country	:	US
Telephone Number	:	985-234-3000
Fax Number	:

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

Provider Enumeration Date	:	06/17/2005
Last Update Date	:	11/14/2011

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