Provider Demographics
NPI:1225484298
Name:BATON ROUGE NEONATAL ASSOCIATES, INC.
Entity Type:Organization
Organization Name:BATON ROUGE NEONATAL ASSOCIATES, INC.
Other - Org Name:INFAMEDICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATIVE ASSISTANT
Authorized Official - Prefix:MS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:A
Authorized Official - Last Name:CHATELAIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-928-2555
Mailing Address - Street 1:500 RUE DE LA VIE
Mailing Address - Street 2:SUITE 405
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70817-5128
Mailing Address - Country:US
Mailing Address - Phone:225-928-2555
Mailing Address - Fax:225-929-9685
Practice Address - Street 1:500 RUE DE LA VIE
Practice Address - Street 2:SUITE 405
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70817-5128
Practice Address - Country:US
Practice Address - Phone:225-928-2555
Practice Address - Fax:225-929-9685
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-10
Last Update Date:2016-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP07763363LN0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LN0005XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal, Critical CareGroup - Single Specialty