Provider Demographics
NPI:1043646615
Name:DUNCAN, CHARDE NICOLE (REGISTERED NURSE)
Entity Type:Individual
Prefix:
First Name:CHARDE
Middle Name:NICOLE
Last Name:DUNCAN
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3517 DECOMINE DR
Mailing Address - Street 2:
Mailing Address - City:CHALMETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70043-2411
Mailing Address - Country:US
Mailing Address - Phone:504-496-3887
Mailing Address - Fax:504-831-5398
Practice Address - Street 1:1555 POYDRAS ST STE 1300
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70112-4539
Practice Address - Country:US
Practice Address - Phone:504-558-1422
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-16
Last Update Date:2013-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LARN135542163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse