Provider Demographics
NPI:1437800828
Name:NORTH, NEIGHA (REGISTER NURSE)
Entity Type:Individual
Prefix:
First Name:NEIGHA
Middle Name:
Last Name:NORTH
Suffix:
Gender:F
Credentials:REGISTER NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2438 PRANCER ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70131-3638
Mailing Address - Country:US
Mailing Address - Phone:504-906-4359
Mailing Address - Fax:
Practice Address - Street 1:2438 PRANCER ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70131-3638
Practice Address - Country:US
Practice Address - Phone:504-906-4359
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-17
Last Update Date:2022-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LARN145547163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse