Provider Demographics
NPI:1568939254
Name:MARCONI, SHAREE ENCALADE (FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:SHAREE
Middle Name:ENCALADE
Last Name:MARCONI
Suffix:
Gender:F
Credentials:FNP-C
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Other - First Name:
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Mailing Address - Street 1:3229 LAKE TRAIL DR
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70003-3432
Mailing Address - Country:US
Mailing Address - Phone:504-913-9136
Mailing Address - Fax:
Practice Address - Street 1:SUPERIOR HEALTHCARE LLC
Practice Address - Street 2:3501 SEVERN AVE STE 8
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70002-3456
Practice Address - Country:US
Practice Address - Phone:504-835-0565
Practice Address - Fax:504-835-0985
Is Sole Proprietor?:No
Enumeration Date:2018-10-31
Last Update Date:2021-12-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LAAP200752363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily