Provider Demographics
NPI:1740972090
Name:RAWAT, SUSHMA (APRN)
Entity type:Individual
Prefix:
First Name:SUSHMA
Middle Name:
Last Name:RAWAT
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:SUSHMA
Other - Middle Name:
Other - Last Name:RAWAT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:FNP
Mailing Address - Street 1:3901 TALL PINES DR
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70131-8419
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3901 TALL PINES DR
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70131-8419
Practice Address - Country:US
Practice Address - Phone:508-713-7647
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-24
Last Update Date:2023-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA229759363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily