Provider Demographics
NPI:1518235977
Name:O'QUIN, MELISSA RIDGEWAY (FNP-C)
Entity Type:Individual
Prefix:MS
First Name:MELISSA
Middle Name:RIDGEWAY
Last Name:O'QUIN
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 OLYMPIC COURT
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70131-8614
Mailing Address - Country:US
Mailing Address - Phone:228-493-0369
Mailing Address - Fax:
Practice Address - Street 1:1111 MEDICAL CENTER BLVD.
Practice Address - Street 2:STE. N703
Practice Address - City:MARRERO
Practice Address - State:LA
Practice Address - Zip Code:70072-3147
Practice Address - Country:US
Practice Address - Phone:504-349-4901
Practice Address - Fax:504-349-6755
Is Sole Proprietor?:No
Enumeration Date:2011-12-13
Last Update Date:2015-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP06783363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS06477036Medicaid
LA2319426Medicaid
LARN129247OtherRN
LA249380YH3UMedicare PIN