Provider Demographics
NPI:1740316645
Name:PETITE, TOYA ANNETTE (RN)
Entity type:Individual
Prefix:MRS
First Name:TOYA
Middle Name:ANNETTE
Last Name:PETITE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1534 DE BATTISTA PL
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70131-7904
Mailing Address - Country:US
Mailing Address - Phone:504-366-1464
Mailing Address - Fax:
Practice Address - Street 1:4422 GENERAL MEYER AVE STE 100
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70131-4328
Practice Address - Country:US
Practice Address - Phone:504-361-6026
Practice Address - Fax:504-361-6254
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-26
Last Update Date:2012-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA42627163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health