Provider Demographics
NPI:1033523881
Name:RIGGIO, CATHY O'NEAL (APRN, FNP)
Entity Type:Individual
Prefix:
First Name:CATHY
Middle Name:O'NEAL
Last Name:RIGGIO
Suffix:
Gender:F
Credentials:APRN, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42440 PELICAN PROFESSIONAL PARK
Mailing Address - Street 2:
Mailing Address - City:HAMMOND
Mailing Address - State:LA
Mailing Address - Zip Code:70403-2403
Mailing Address - Country:US
Mailing Address - Phone:985-542-4950
Mailing Address - Fax:985-318-6400
Practice Address - Street 1:42440 PELICAN PROFESSIONAL PARK
Practice Address - Street 2:
Practice Address - City:HAMMOND
Practice Address - State:LA
Practice Address - Zip Code:70403-2403
Practice Address - Country:US
Practice Address - Phone:985-542-4950
Practice Address - Fax:985-318-6400
Is Sole Proprietor?:No
Enumeration Date:2014-06-19
Last Update Date:2015-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP07848363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA2367633Medicaid