Provider Demographics
NPI:1235262320
Name:EVE, SANDRA ARDEN (FNP)
Entity Type:Individual
Prefix:MRS
First Name:SANDRA
Middle Name:ARDEN
Last Name:EVE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4601 MURANO RD
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70129-2624
Mailing Address - Country:US
Mailing Address - Phone:504-254-1347
Mailing Address - Fax:504-941-9991
Practice Address - Street 1:4201 N RAMPART ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70117-5334
Practice Address - Country:US
Practice Address - Phone:504-941-6041
Practice Address - Fax:504-941-9991
Is Sole Proprietor?:No
Enumeration Date:2007-03-14
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LAAPO2894363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1438146Medicaid