Provider Demographics
NPI:1548970494
Name:PEDROSO, RJ ESPESOR (NP)
Entity type:Individual
Prefix:
First Name:RJ
Middle Name:ESPESOR
Last Name:PEDROSO
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3500 BRADBURY ST
Mailing Address - Street 2:
Mailing Address - City:MERAUX
Mailing Address - State:LA
Mailing Address - Zip Code:70075-8008
Mailing Address - Country:US
Mailing Address - Phone:504-344-9868
Mailing Address - Fax:
Practice Address - Street 1:8732 HIGHWAY 23 STE A
Practice Address - Street 2:
Practice Address - City:BELLE CHASSE
Practice Address - State:LA
Practice Address - Zip Code:70037-2228
Practice Address - Country:US
Practice Address - Phone:504-300-8003
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-01
Last Update Date:2025-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA227341363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily