Provider Demographics
NPI:1932461944
Name:GRAUGNARD, MARANATH N (FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:MARANATH
Middle Name:N
Last Name:GRAUGNARD
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6550 MAIN ST STE 2000
Mailing Address - Street 2:
Mailing Address - City:ZACHARY
Mailing Address - State:LA
Mailing Address - Zip Code:70791-4092
Mailing Address - Country:US
Mailing Address - Phone:225-658-1303
Mailing Address - Fax:225-658-1304
Practice Address - Street 1:6550 MAIN ST STE 2000
Practice Address - Street 2:
Practice Address - City:ZACHARY
Practice Address - State:LA
Practice Address - Zip Code:70791-4092
Practice Address - Country:US
Practice Address - Phone:225-658-1303
Practice Address - Fax:225-658-1304
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-14
Last Update Date:2023-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSR887496163W00000X
LARN108901163WC1500X
LA229016363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
No163WC1500XNursing Service ProvidersRegistered NurseCommunity Health