Provider Demographics
NPI:1972564086
Name:BIGGS, MAUREEN M (FNP LLC)
Entity type:Individual
Prefix:MRS
First Name:MAUREEN
Middle Name:M
Last Name:BIGGS
Suffix:
Gender:F
Credentials:FNP LLC
Other - Prefix:MRS
Other - First Name:MAUREEN
Other - Middle Name:M
Other - Last Name:BIGGS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:FNP
Mailing Address - Street 1:309 WALNUT ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:AMITE
Mailing Address - State:LA
Mailing Address - Zip Code:70422
Mailing Address - Country:US
Mailing Address - Phone:985-748-9812
Mailing Address - Fax:985-748-9818
Practice Address - Street 1:309 WALNUT ST
Practice Address - Street 2:SUITE A
Practice Address - City:AMITE
Practice Address - State:LA
Practice Address - Zip Code:70422
Practice Address - Country:US
Practice Address - Phone:985-748-9812
Practice Address - Fax:985-748-9818
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-29
Last Update Date:2008-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA0499543092363L00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1550477Medicaid
S72007Medicare UPIN
LA5X741Medicare ID - Type Unspecified