Provider Demographics
NPI:1003102021
Name:ALLEMAN, ELAINE (NP, RN, MSN)
Entity type:Individual
Prefix:
First Name:ELAINE
Middle Name:
Last Name:ALLEMAN
Suffix:
Gender:F
Credentials:NP, RN, MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:335 AUDUBON BLVD
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70125-4124
Mailing Address - Country:US
Mailing Address - Phone:985-264-8037
Mailing Address - Fax:504-865-0371
Practice Address - Street 1:335 AUDUBON BLVD
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70125-4124
Practice Address - Country:US
Practice Address - Phone:985-264-8037
Practice Address - Fax:504-865-0371
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-28
Last Update Date:2011-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP06367363L00000X, 363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Single Specialty