Provider Demographics
NPI:1336698547
Name:DERAMUS, MELISSA (RN, BSN, FCPI)
Entity Type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:
Last Name:DERAMUS
Suffix:
Gender:F
Credentials:RN, BSN, FCPI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3032 RIDGELAKE DR
Mailing Address - Street 2:SUITE 201
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70002-4973
Mailing Address - Country:US
Mailing Address - Phone:504-496-0214
Mailing Address - Fax:504-831-3155
Practice Address - Street 1:3032 RIDGELAKE DR
Practice Address - Street 2:SUITE 201
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70002-4973
Practice Address - Country:US
Practice Address - Phone:504-496-0214
Practice Address - Fax:504-831-3155
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-28
Last Update Date:2016-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator