Provider Demographics
NPI:1720267487
Name:DE MONREDON, LEIGH ANN (C-ANP)
Entity Type:Individual
Prefix:
First Name:LEIGH
Middle Name:ANN
Last Name:DE MONREDON
Suffix:
Gender:F
Credentials:C-ANP
Other - Prefix:
Other - First Name:LEIGH
Other - Middle Name:ANN
Other - Last Name:SWIDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:C-ANP
Mailing Address - Street 1:1125 N TONTI ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70119-3549
Mailing Address - Country:US
Mailing Address - Phone:504-220-2194
Mailing Address - Fax:
Practice Address - Street 1:1125 N TONTI ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70119-3549
Practice Address - Country:US
Practice Address - Phone:504-220-2194
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-30
Last Update Date:2007-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP04132363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health