Provider Demographics
NPI:1003283862
Name:TROUGHT, LEONTINE MAXINE
Entity Type:Individual
Prefix:MS
First Name:LEONTINE
Middle Name:MAXINE
Last Name:TROUGHT
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:LEONTINE
Other - Middle Name:MAXINE
Other - Last Name:TROUGHT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:FNP
Mailing Address - Street 1:2800 GENTILLY BLVD # 70122
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70122-3048
Mailing Address - Country:US
Mailing Address - Phone:469-422-9214
Mailing Address - Fax:
Practice Address - Street 1:2700 S BROAD ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70125-1953
Practice Address - Country:US
Practice Address - Phone:504-383-8559
Practice Address - Fax:504-371-5162
Is Sole Proprietor?:No
Enumeration Date:2015-08-27
Last Update Date:2021-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP09669363LF0000X
TXAP128870282N00000X, 305S00000X, 364SC1501X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No282N00000XHospitalsGeneral Acute Care Hospital
No305S00000XManaged Care OrganizationsPoint of Service
No364SC1501XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistCommunity Health/Public Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA754446OtherMEDICARE
LA2484010Medicaid