Provider Demographics
NPI:1235418435
Name:NP PROFESSIONAL SOLUTIONS, LLC
Entity Type:Organization
Organization Name:NP PROFESSIONAL SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FAMILY NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:MONIQUE
Authorized Official - Middle Name:
Authorized Official - Last Name:BARCONEY
Authorized Official - Suffix:
Authorized Official - Credentials:MPH, MSN, APRN,FNP-C
Authorized Official - Phone:504-322-2622
Mailing Address - Street 1:4910 HOWARD AVE
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70125-1116
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4910 HOWARD AVE
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70125-1116
Practice Address - Country:US
Practice Address - Phone:504-322-2622
Practice Address - Fax:504-322-2622
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-05
Last Update Date:2011-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP04742363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1032239Medicaid
LANJ 2983MBOtherBLUE CROSS BLUE SHIELD OF LOUISIANA
3B874Medicare PIN