Latawnya Stevenson-Evans, RN
Individual provider Active NPI Registered Nurse · Prairieville, LA
NPI 1154698231 · NPPES record last updated Nov 21, 2011
Key facts
- NPI
- 1154698231
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 128813 (LA)
- Practice address
- 40318 Bordeaux St
Prairieville, LA 70769-5432 - Phone
- (225) 362-7212
- Fax
- (866) 465-7549
- NPI assigned
- Nov 17, 2011
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 128813 | LA | MD | Registered Nurse |
| RN2271607 | MA | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN2271607 | MA | |
| Registered Nurse | 163W00000X | 128813 | LA | Yes |
Addresses
Primary practice location
40318 Bordeaux St
Prairieville, LA 70769-5432
Mailing address
40318 Bordeaux St
Prairieville, LA 70769-5432
Phone (225) 362-7212
Other providers in Prairieville, LA
- Madison Spinosa
- St. Elizabeth Imaging Center, LLC
- St. Elizabeth Imaging LLC
- Stacy House Counseling
- Ronald Dewey Stailey
- Dedra Stevenson
- Tristan Stewart
- Kaelyn Storr
- Syntropy Wellness, LLC.
- Markia Lashae Tasker
All providers in Prairieville, LA · Registered Nurse in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 21, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.