Provider Demographics
NPI:1306408026
Name:CEHAN, HEIDI RODRIGUE (FNP-C)
Entity type:Individual
Prefix:
First Name:HEIDI
Middle Name:RODRIGUE
Last Name:CEHAN
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10428 E PARK AVE
Mailing Address - Street 2:
Mailing Address - City:HOUMA
Mailing Address - State:LA
Mailing Address - Zip Code:70363-3891
Mailing Address - Country:US
Mailing Address - Phone:985-258-1046
Mailing Address - Fax:
Practice Address - Street 1:181 CORPORATE DR
Practice Address - Street 2:
Practice Address - City:HOUMA
Practice Address - State:LA
Practice Address - Zip Code:70360-2767
Practice Address - Country:US
Practice Address - Phone:985-262-1639
Practice Address - Fax:985-262-8197
Is Sole Proprietor?:No
Enumeration Date:2019-07-02
Last Update Date:2019-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA205930363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily