Provider Demographics
NPI:1407680390
Name:DAVIS, ARIANNE
Entity type:Individual
Prefix:
First Name:ARIANNE
Middle Name:
Last Name:DAVIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3632 SIDNEY DUPLESSIS DR
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70126-5605
Mailing Address - Country:US
Mailing Address - Phone:504-314-0004
Mailing Address - Fax:
Practice Address - Street 1:2318 A P TUREAUD AVE # B
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70119-1510
Practice Address - Country:US
Practice Address - Phone:504-300-9299
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-31
Last Update Date:2024-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable
No347C00000XTransportation ServicesPrivate Vehicle