MRS. MARY DIANE RABALAIS WHNP NPI 1740622638

NPI Information

NPI: 1740622638
Provider Name: MRS. MARY DIANE RABALAIS, WHNP
Classification: Nurse Practitioner - 363LW0102X
Entity Type: Individual

Specialization: Women's Health

Organization: NORTH OAKS PHYSICIAN GROUP, LLC

PECOS Registration: Yes

Address:
4429 CLARA ST
SUITE 640
NEW ORLEANS, LA
ZIP 70115
Phone: (504) 842-9616
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MRS. Mary Diane Rabalais, WHNP is a women's health nurse practitioner in New Orleans, LA with 12 years of experience. MRS. Mary Diane Rabalais, WHNP NPI is 1740622638. 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:

4429 CLARA ST
SUITE 640
NEW ORLEANS, LA
ZIP 70115-902
Phone: (504) 842-9616
Fax: (504) 842-9621

The NPI 1740622638 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 7/22/2013 and was last updated on 11/26/2014.

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	363LW0102X	Nurse Practitioner	Women's Health	AP07283	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	03976556	MEDICAID	MISSISSIPPI
2	2374125	MEDICAID	LOUISIANA
3	369580YH3U	MEDICARE PIN	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: 11/14/2023

NPI Synchronization or Removal

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