# BIANCHINI-PELLEGRIN

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437488871
- **Authorized official:** TIMOTHY PELLEGRIN APRN, PNP (MEMBER)
- **Authorized official phone:** (504) 780-1702

## Contact information

- **Practice address:** 8120 MAIN ST, STE 405, HOUMA, LA 70360-3403
- **Practice address phone:** (985) 868-2756
- **Practice address fax:** (985) 868-8986
- **Mailing address:** 3939 HOUMA BLVD, STE 223, METAIRIE, LA 70006-2931
- **Mailing address phone:** (504) 780-1702
- **Mailing address fax:** (504) 780-1705

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WP0808X | Psychiatric/Mental Health Registered Nurse | — | LA | Yes |

## Other

- **Enumeration date:** 12/14/2009
- **Last updated:** 12/14/2009