Basic Information
Provider Information
NPI: 1700183605
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: PICHON
FirstName: RONA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: RN
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2121 DIANA ST
Address2:  
City: TERRYTOWN
State: LA
PostalCode: 700562814
CountryCode: US
TelephoneNumber: 5042324511
FaxNumber:  
Practice Location
Address1: 3300 W ESPLANADE AVE S
Address2: 213
City: METAIRIE
State: LA
PostalCode: 700027406
CountryCode: US
TelephoneNumber: 5048385224
FaxNumber:  
Other Information
ProviderEnumerationDate: 02/12/2011
LastUpdateDate: 02/12/2011
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163W00000X106340LAY Nursing Service ProvidersRegistered Nurse 

No ID Information.


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