Provider Demographics
NPI:1295150746
Name:BAKER, MELANIE (PMHNP-BC)
Entity type:Individual
Prefix:
First Name:MELANIE
Middle Name:
Last Name:BAKER
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4480 GENERAL DEGAULLE DR
Mailing Address - Street 2:SUITE 107
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70131-6941
Mailing Address - Country:US
Mailing Address - Phone:504-393-6355
Mailing Address - Fax:504-393-6388
Practice Address - Street 1:4480 GENERAL DEGAULLE DR
Practice Address - Street 2:SUITE 107
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70131-6941
Practice Address - Country:US
Practice Address - Phone:504-393-6355
Practice Address - Fax:504-393-6388
Is Sole Proprietor?:No
Enumeration Date:2014-02-20
Last Update Date:2019-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP07704363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health