Organization
BIANCHINI-PELLEGRIN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY PELLEGRIN APRN, PNP (MEMBER)
(504) 780-1702
Entity
Organization
Contact information
Practice address
8120 MAIN ST, STE 405, HOUMA, LA 70360-3403
(985) 868-2756
(985) 868-8986
Mailing address
3939 HOUMA BLVD, STE 223, METAIRIE, LA 70006-2931
(504) 780-1702
(504) 780-1705
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
—
LA
Other
Enumeration date
12/14/2009
Last updated
12/14/2009
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