MRS. PAMELA B. EGAN MN FNP-C CDE NPI 1700088788

NPI Information

NPI: 1700088788
Provider Name: MRS. PAMELA B. EGAN, MN, FNP-C, CDE
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
1116 W 21ST AVE.
COVINGTON, LA
ZIP 70433
Phone: (985) 892-3031
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MRS. Pamela B. Egan, MN, FNP-C, CDE is a family nurse practitioner in Covington, LA. MRS. Pamela B. Egan, MN, FNP-C, CDE NPI is 1700088788. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1116 W 21ST AVE.
COVINGTON, LA
ZIP 70433-407
Phone: (985) 892-3031
Fax: (985) 892-9504

The NPI 1700088788 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/2/2007 and was last updated on 4/11/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health	39110 2195	LOUISIANA	No
2	364SP0808X	Clinical Nurse Specialist	Psychiatric/Mental Health	39110 2195	LOUISIANA	No
3	363LF0000X	Nurse Practitioner	Family	39110 2195	LOUISIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	5X785	MEDICARE ID-TYPE UNSPECIFIED	LOUISIANA
2	1547255	MEDICAID	LOUISIANA
3	575282	MEDICARE UPIN	LOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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