Provider Demographics
NPI:1326006701
Name:LEDAY, NONA MARIE (CNS)
Entity Type:Individual
Prefix:
First Name:NONA
Middle Name:MARIE
Last Name:LEDAY
Suffix:
Gender:F
Credentials:CNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1962
Mailing Address - Street 2:
Mailing Address - City:LAKE CHARLES
Mailing Address - State:LA
Mailing Address - Zip Code:70602-1962
Mailing Address - Country:US
Mailing Address - Phone:337-764-6309
Mailing Address - Fax:337-439-6351
Practice Address - Street 1:932 MULBERRY ST
Practice Address - Street 2:
Practice Address - City:LAKE CHARLES
Practice Address - State:LA
Practice Address - Zip Code:70601-2452
Practice Address - Country:US
Practice Address - Phone:337-764-6309
Practice Address - Fax:337-439-6351
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-03
Last Update Date:2023-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LARN050908 - AP03651364SA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SA2200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA4B662Medicare ID - Type UnspecifiedPROVIDER-MEDICARE
LAP20647Medicare UPIN