Provider Demographics
NPI:1134944325
Name:ORDES, ALISHA (FNP-C)
Entity type:Individual
Prefix:
First Name:ALISHA
Middle Name:
Last Name:ORDES
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1120 ROBERT BLVD STE 312
Mailing Address - Street 2:
Mailing Address - City:SLIDELL
Mailing Address - State:LA
Mailing Address - Zip Code:70458-2069
Mailing Address - Country:US
Mailing Address - Phone:985-280-6670
Mailing Address - Fax:
Practice Address - Street 1:1120 ROBERT BLVD STE 312
Practice Address - Street 2:
Practice Address - City:SLIDELL
Practice Address - State:LA
Practice Address - Zip Code:70458-2069
Practice Address - Country:US
Practice Address - Phone:985-280-6670
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-21
Last Update Date:2024-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA236077363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily