Provider Demographics
NPI:1639591324
Name:PREGEANT, RAYMOND LAWRENCE (FNP-C)
Entity Type:Individual
Prefix:
First Name:RAYMOND
Middle Name:LAWRENCE
Last Name:PREGEANT
Suffix:
Gender:M
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4216 FLORIDA AVE
Mailing Address - Street 2:APARTMENT B
Mailing Address - City:KENNER
Mailing Address - State:LA
Mailing Address - Zip Code:70065-1360
Mailing Address - Country:US
Mailing Address - Phone:504-466-3702
Mailing Address - Fax:504-468-9374
Practice Address - Street 1:318 S PIERCE ST
Practice Address - Street 2:APARTMENT B
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70119-6013
Practice Address - Country:US
Practice Address - Phone:504-256-8959
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-14
Last Update Date:2017-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP07636363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily