Provider Demographics
NPI:1134414535
Name:BLAND, PAULA SIDER (FNP, PMHNP)
Entity type:Individual
Prefix:MRS
First Name:PAULA
Middle Name:SIDER
Last Name:BLAND
Suffix:
Gender:
Credentials:FNP, PMHNP
Other - Prefix:
Other - First Name:PAULA
Other - Middle Name:
Other - Last Name:SIDER-BLAND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:609 METAIRIE RD
Mailing Address - Street 2:PMB 4028
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70005
Mailing Address - Country:US
Mailing Address - Phone:504-610-7459
Mailing Address - Fax:651-409-5808
Practice Address - Street 1:609 METAIRIE RD
Practice Address - Street 2:PMB 4028
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70005
Practice Address - Country:US
Practice Address - Phone:504-610-7459
Practice Address - Fax:651-409-5808
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-14
Last Update Date:2025-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP06616363LP0808X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA122943Medicaid