Provider Demographics
NPI:1528080322
Name:MARCHAND, KRISTINA MARIE (NP)
Entity type:Individual
Prefix:MRS
First Name:KRISTINA
Middle Name:MARIE
Last Name:MARCHAND
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4429 CLARA ST STE 440
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70115-6973
Mailing Address - Country:US
Mailing Address - Phone:504-842-9618
Mailing Address - Fax:504-842-9623
Practice Address - Street 1:4429 CLARA ST STE 440
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70115-6973
Practice Address - Country:US
Practice Address - Phone:504-842-9618
Practice Address - Fax:504-842-9623
Is Sole Proprietor?:No
Enumeration Date:2006-07-24
Last Update Date:2024-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LARN082577 AP03663363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1102598Medicaid
MS08872538Medicaid
LA1102598Medicaid
MS08872538Medicaid
P38963Medicare UPIN
MS08872538Medicaid