Provider Demographics
NPI:1841598836
Name:RAJKI, LINDA L (NNP)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:L
Last Name:RAJKI
Suffix:
Gender:F
Credentials:NNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1101 MEDICAL CENTER BLVD
Mailing Address - Street 2:NICU
Mailing Address - City:MARRERO
Mailing Address - State:LA
Mailing Address - Zip Code:70072-3147
Mailing Address - Country:US
Mailing Address - Phone:504-349-2427
Mailing Address - Fax:504-349-2426
Practice Address - Street 1:1101 MEDICAL CENTER BLVD
Practice Address - Street 2:NICU
Practice Address - City:MARRERO
Practice Address - State:LA
Practice Address - Zip Code:70072-3147
Practice Address - Country:US
Practice Address - Phone:504-349-2427
Practice Address - Fax:504-349-2426
Is Sole Proprietor?:No
Enumeration Date:2011-03-01
Last Update Date:2011-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LARN038927 AP01184363LN0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0005XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal, Critical Care