Individual
ROSEMARY A STAGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN FNPC
Contact information
Practice address
23515 HWY 190, MANDEVILLE, LA 70448
(985) 626-6300
(985) 626-6530
Mailing address
PO BOX 3850, 23515 HWY 190, MANDEVILLE, LA 70470-3850
(985) 626-6300
(985) 626-6530
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN045195
LA
363L00000X
Nurse Practitioner
AP04281
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043264351
NPI FACILITY
LA
05
—
1169536
—
LA
Enumeration date
04/16/2007
Last updated
09/11/2025
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