Provider Demographics
NPI:1972959062
Name:MECHE, BRITTANY FORTMAYER (FNP)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:FORTMAYER
Last Name:MECHE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1305 MANSON AVE
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70001-3619
Mailing Address - Country:US
Mailing Address - Phone:504-357-6773
Mailing Address - Fax:504-441-5550
Practice Address - Street 1:613 WILLIAMS BLVD
Practice Address - Street 2:
Practice Address - City:KENNER
Practice Address - State:LA
Practice Address - Zip Code:70062-7635
Practice Address - Country:US
Practice Address - Phone:504-441-5555
Practice Address - Fax:504-441-5550
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-09
Last Update Date:2016-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP08755363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care