Mary Margaret Pace, RN
Individual provider Active NPI Registered Nurse · Loranger, LA
NPI 1326633736 · NPPES record last updated Mar 8, 2021
Key facts
- NPI
- 1326633736
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 204072 (LA)
- Practice address
- 54016 Highway 1062
Loranger, LA 70446-3538 - Phone
- (985) 606-9000
- Fax
- (985) 878-9568
- NPI assigned
- Mar 8, 2021
- 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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 204072 | LA | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 204072 | LA | Yes |
Addresses
Primary practice location
54016 Highway 1062
Loranger, LA 70446-3538
Mailing address
PO Box 395
Clinton, LA 70722-0395
Phone (225) 683-5292
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 204072 | Other | LA | RN LICENSE |
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- Jody Patrick Nunnery
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- Primary Care Providers for a Healthy Feliciana Inc
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All providers in Loranger, 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 Mar 8, 2021. 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.