Provider Demographics
NPI:1568689123
Name:SANTONE, MICHAEL DAVID (APRN-BC, MSN)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:DAVID
Last Name:SANTONE
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Gender:M
Credentials:APRN-BC, MSN
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Mailing Address - Street 1:1514 JEFFERSON HIGHWAY
Mailing Address - Street 2:APT D
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70121-2429
Mailing Address - Country:US
Mailing Address - Phone:504-842-4025
Mailing Address - Fax:
Practice Address - Street 1:1514 JEFFERSON HWY
Practice Address - Street 2:SUITE4030
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70121-2429
Practice Address - Country:US
Practice Address - Phone:504-842-4025
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-18
Last Update Date:2011-05-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
LARN86272 AP5172363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1008095Medicaid
MS03276257Medicaid
LA3A170Medicare PIN