Provider Demographics
NPI:1316481310
Name:FALGOUST, YVETTE J (APRN, FNP)
Entity type:Individual
Prefix:
First Name:YVETTE
Middle Name:J
Last Name:FALGOUST
Suffix:
Gender:F
Credentials:APRN, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2236 KENTUCKY AVE
Mailing Address - Street 2:
Mailing Address - City:KENNER
Mailing Address - State:LA
Mailing Address - Zip Code:70062-5947
Mailing Address - Country:US
Mailing Address - Phone:504-234-5465
Mailing Address - Fax:
Practice Address - Street 1:4409 UTICA ST
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70006-6578
Practice Address - Country:US
Practice Address - Phone:504-457-3687
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-12-09
Last Update Date:2016-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LARN071704163WN0300X
LAAP08920363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WN0300XNursing Service ProvidersRegistered NurseNephrology