Provider Demographics
NPI:1699963215
Name:MEYASKI, MARY CECILE (APRN-FNP)
Entity type:Individual
Prefix:MRS
First Name:MARY
Middle Name:CECILE
Last Name:MEYASKI
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Gender:F
Credentials:APRN-FNP
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Mailing Address - Street 1:1430 TULANE AVE
Mailing Address - Street 2:DEPT. OF MEDICINE SL-90
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70112-2632
Mailing Address - Country:US
Mailing Address - Phone:504-988-6834
Mailing Address - Fax:504-988-6757
Practice Address - Street 1:1430 TULANE AVE
Practice Address - Street 2:DEPT. OF MEDICINE SL-90
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70112-2632
Practice Address - Country:US
Practice Address - Phone:504-988-6834
Practice Address - Fax:504-988-6757
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-09
Last Update Date:2007-10-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
LAAPO4839363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily