Provider Demographics
NPI:1134498025
Name:AUDUBON HEALTH SPECIALTY, L.L.C.
Entity Type:Organization
Organization Name:AUDUBON HEALTH SPECIALTY, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ELAINE
Authorized Official - Middle Name:LONGLEY
Authorized Official - Last Name:ALLEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:ANP-C
Authorized Official - Phone:985-264-8037
Mailing Address - Street 1:335 AUDUBON BLVD
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70125-4124
Mailing Address - Country:US
Mailing Address - Phone:985-264-8037
Mailing Address - Fax:504-865-0371
Practice Address - Street 1:335 AUDUBON BLVD
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70125-4124
Practice Address - Country:US
Practice Address - Phone:985-264-8037
Practice Address - Fax:504-865-0371
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-21
Last Update Date:2011-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP06367363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Single Specialty