Provider Demographics
NPI:1508161068
Name:ORLEANS FAMILY PRACTICE, LLC
Entity Type:Organization
Organization Name:ORLEANS FAMILY PRACTICE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FAMILY NURSE PRACTITIONER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:BRADLEY-BYERS
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:504-606-6363
Mailing Address - Street 1:6900 BAMBERRY ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70126-2714
Mailing Address - Country:US
Mailing Address - Phone:504-208-8467
Mailing Address - Fax:504-975-6047
Practice Address - Street 1:9970 LAKE FOREST BLVD
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70127-2609
Practice Address - Country:US
Practice Address - Phone:504-208-8467
Practice Address - Fax:504-975-6047
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-13
Last Update Date:2021-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health