Provider Demographics
NPI:1265162986
Name:GIVENS, EULANDA MARIE
Entity type:Individual
Prefix:
First Name:EULANDA
Middle Name:MARIE
Last Name:GIVENS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:850 EAST BLVD
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70802-6308
Mailing Address - Country:US
Mailing Address - Phone:225-205-6725
Mailing Address - Fax:225-456-2686
Practice Address - Street 1:850 EAST BLVD
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70802-6308
Practice Address - Country:US
Practice Address - Phone:225-205-6725
Practice Address - Fax:225-456-2686
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-15
Last Update Date:2022-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)