Individual
JOYCE CATHERINE MIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.N.P.
Contact information
Practice address
8585 PICARDY AVE STE 114, HMG- BATON ROUGE GENERAL, BATON ROUGE, LA 70809-3679
(225) 387-7700
(225) 372-3717
Mailing address
8585 PICARDY AVE STE 114, HMG- BATON ROUGE GENERAL, BATON ROUGE, LA 70809-3679
(225) 387-7700
(225) 372-3717
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP04257
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1177199
—
LA
01
—
4C892DX80
MEDICARE
—
01
—
P00408731
RAILROAD MEDICARE
LA
Enumeration date
08/30/2005
Last updated
06/22/2015
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