Surcouf, Heather Lynn
Surcouf, Heather Lynn is an sole proprietor health care provider with primary practice located at 1100 E Judge Perez Dr , Chalmette LA 70043-5405. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Surcouf, Heather Lynn can be contacted via phone (504) 333-6988.Contact Information
Primary practice address
1100 E Judge Perez Dr
Chalmette LA 70043-5405
Phone: (504) 333-6988
Fax: (504) 342-2184
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP04078 | Louisiana |
Profile Details
| NPI number | 1619978541 |
|---|---|
| LBN Legal business name | Surcouf, Heather Lynn |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 2nd, 2005 |
| Last updated | Apr 29th, 2013 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619978541 | NPPES |
| Louisiana | MEDICAID | 1039870 |
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