Provider Demographics
NPI:1326571639
Name:LOUPE, MEGAN PAYNE (APRN)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:PAYNE
Last Name:LOUPE
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11055 SHOE CREEK DR
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70818-4022
Mailing Address - Country:US
Mailing Address - Phone:225-261-4493
Mailing Address - Fax:
Practice Address - Street 1:11055 SHOE CREEK DR
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70818-4022
Practice Address - Country:US
Practice Address - Phone:225-261-4493
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-05
Last Update Date:2017-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP09184363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily