Shelby Lynn Assavedo
Individual provider Active NPI Family Nurse Practitioner · Violet, LA
NPI 1265289672 · NPPES record last updated May 2, 2024
Key facts
- NPI
- 1265289672
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 00001 (LA)
- Practice address
- 2405 S Lake Blvd
Violet, LA 70092-3511 - Phone
- (504) 909-0374
- NPI assigned
- May 2, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00001 | LA | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 00001 | LA | Yes |
Addresses
Primary practice location
2405 S Lake Blvd
Violet, LA 70092-3511
Mailing address
2405 S Lake Blvd
Violet, LA 70092-3511
Other providers in Violet, LA
- 360 Trucking LLC
- Afro Swank Consulting Inc
- Cassandra Aisola
- Angelicare LLC
- Naomi Ayro
- B&H Expansion LLC
- Nakia Banks
- Dominique Tenna Brown
- Erika Brown
All providers in Violet, LA · Family Nurse Practitioner in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 2, 2024. 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.