Provider Demographics
NPI:1922030485
Name:SCHLUTER, LAURIE ANN (FNP)
Entity Type:Individual
Prefix:
First Name:LAURIE
Middle Name:ANN
Last Name:SCHLUTER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:845 ELMEER AVE
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70005-2055
Mailing Address - Country:US
Mailing Address - Phone:214-773-0563
Mailing Address - Fax:
Practice Address - Street 1:1415 TULANE AVE
Practice Address - Street 2:HC 66
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70112-2600
Practice Address - Country:US
Practice Address - Phone:504-988-3690
Practice Address - Fax:504-988-6263
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2012-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX693725363LF0000X
LA77306-03322363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX139485019Medicaid
LA1551121Medicaid
MS00600066Medicaid
TXS72013Medicare UPIN
LA1551121Medicaid
MS00600066Medicaid