Provider Demographics
NPI:1407230360
Name:DUPLANTIER, CHIWANDA
Entity Type:Individual
Prefix:
First Name:CHIWANDA
Middle Name:
Last Name:DUPLANTIER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2559 SAINT NICK DR
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70131-5133
Mailing Address - Country:US
Mailing Address - Phone:504-249-8554
Mailing Address - Fax:
Practice Address - Street 1:2559 SAINT NICK DR
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70131-5133
Practice Address - Country:US
Practice Address - Phone:504-249-8554
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-10
Last Update Date:2015-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332U00000XSuppliersHome Delivered Meals
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA474384536OtherEIN