Provider Demographics
NPI:1801043419
Name:PAZOS, CHERI ANN (NP)
Entity Type:Individual
Prefix:MRS
First Name:CHERI
Middle Name:ANN
Last Name:PAZOS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4232 WILLIAMS BLVD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:KENNER
Mailing Address - State:LA
Mailing Address - Zip Code:70065-2271
Mailing Address - Country:US
Mailing Address - Phone:504-471-4880
Mailing Address - Fax:504-471-4882
Practice Address - Street 1:4232 WILLIAMS BLVD
Practice Address - Street 2:SUITE 101
Practice Address - City:KENNER
Practice Address - State:LA
Practice Address - Zip Code:70065-2271
Practice Address - Country:US
Practice Address - Phone:504-471-4880
Practice Address - Fax:504-471-4882
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-26
Last Update Date:2012-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1952363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily