| Doctor Name: | VIRGINIA M PELLEGRIN |
| NPI Number: | 1063426047 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | N.P. |
| License Number: | RN086560 |
| Business Practice Address: | 509 Dunn St Houma, LA - 703604705 |
| Business Phone Number: | 9858761714 |
| Business Fax Number: | 9858686549 |
| Mailing Address: | 509 Dunn St, HOUMA |
| State: | LA |
| Postal Code: | 703604705 |
| Phone Number: | 9858761714 |
| Fax Number: | 9858686549 |
| NPI Enumeration Date: | 07/28/2006 |
| NPI Last Update Date: | 04/14/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LW0102X |
| License Number: | RN086560 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Women's Health |
| Taxonomy Definition: | |