Provider Demographics
NPI:1447253794
Name:LOUQUE, MEGAN ARNOLD (RN,MSN,CNS,ANP,FNP)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:ARNOLD
Last Name:LOUQUE
Suffix:
Gender:F
Credentials:RN,MSN,CNS,ANP,FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12520 LAKELAND DR
Mailing Address - Street 2:
Mailing Address - City:WALKER
Mailing Address - State:LA
Mailing Address - Zip Code:70785-8200
Mailing Address - Country:US
Mailing Address - Phone:225-664-2023
Mailing Address - Fax:225-664-2585
Practice Address - Street 1:21454 KOOP RD
Practice Address - Street 2:
Practice Address - City:MANDEVILLE
Practice Address - State:LA
Practice Address - Zip Code:70471-7513
Practice Address - Country:US
Practice Address - Phone:985-871-1300
Practice Address - Fax:985-871-1334
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-05-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA03144363LA2200X, 363LF0000X, 364SC1501X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Not Answered363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Not Answered364SC1501XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistCommunity Health/Public Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA0043778Medicaid