Provider Demographics
NPI:1972731073
Name:MAUREEN BIGGS FNP LLC
Entity Type:Organization
Organization Name:MAUREEN BIGGS FNP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MAUREEN
Authorized Official - Middle Name:M
Authorized Official - Last Name:BIGGS
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:985-748-9812
Mailing Address - Street 1:309 W. WALNUT
Mailing Address - Street 2:SUITE A
Mailing Address - City:AMITE
Mailing Address - State:LA
Mailing Address - Zip Code:70422
Mailing Address - Country:US
Mailing Address - Phone:985-748-9812
Mailing Address - Fax:985-748-9818
Practice Address - Street 1:309 W. WALNUT
Practice Address - Street 2:SUITE A
Practice Address - City:AMITE
Practice Address - State:LA
Practice Address - Zip Code:70422
Practice Address - Country:US
Practice Address - Phone:985-748-9812
Practice Address - Fax:985-748-9818
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-26
Last Update Date:2009-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP03092363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1550477Medicaid
5X741Medicare UPIN
LA1550477Medicaid