Provider Demographics
NPI:1235801903
Name:RAYMOND, DANITA YVETTE (RN)
Entity Type:Individual
Prefix:
First Name:DANITA
Middle Name:YVETTE
Last Name:RAYMOND
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3251 WALL BLVD APT 401
Mailing Address - Street 2:
Mailing Address - City:GRETNA
Mailing Address - State:LA
Mailing Address - Zip Code:70056-8640
Mailing Address - Country:US
Mailing Address - Phone:504-650-2770
Mailing Address - Fax:
Practice Address - Street 1:727 CARONDELET ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70130-3705
Practice Address - Country:US
Practice Address - Phone:504-650-2770
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-01
Last Update Date:2021-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA76098163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool