Individual
ASHLEY J. CUSIMANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2215 VETERANS MEMORIAL BLVD, METAIRIE, LA 70002-6322
(504) 838-3524
(504) 828-6155
Mailing address
1101 MEDICAL CENTER BLVD, ER, MARRERO, LA 70072-3147
(504) 349-1533
(504) 349-1530
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP08394
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02084269
—
MS
05
—
2396536
—
LA
01
—
AP08394
LICENSE
LA
Enumeration date
06/29/2015
Last updated
07/21/2022
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