Provider Demographics
NPI:1548564644
Name:PRO-NP LLC
Entity Type:Organization
Organization Name:PRO-NP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRATITIONER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:J
Authorized Official - Last Name:MANUEL
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:337-207-0528
Mailing Address - Street 1:PO BOX 53084
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70505-3084
Mailing Address - Country:US
Mailing Address - Phone:337-207-0528
Mailing Address - Fax:
Practice Address - Street 1:325 BACQUE CRESCENT DR
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70503-2842
Practice Address - Country:US
Practice Address - Phone:337-207-0528
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-04
Last Update Date:2021-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP06054163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty