Individual
MEGAN BALDASSARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15795 PAUL VEGA MD DRIVE, HAMMOND, LA 70403
(985) 230-7480
(985) 230-7481
Mailing address
22513 STRAIN RD, MANDEVILLE, LA 70471-7871
(504) 330-1758
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
239872
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
239872
LICENSE
LA
Enumeration date
10/29/2025
Last updated
11/26/2025
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