Individual
MEGAN MIRANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
735 W 5TH ST, LA PLACE, LA 70068-5505
(985) 652-9504
Mailing address
75 SHEARWATER DR, LA PLACE, LA 70068-6451
(504) 201-7583
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP08525
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01505763
—
MS
05
—
2405217
—
LA
Enumeration date
09/21/2015
Last updated
02/24/2016
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