Individual
MRS. TORI MANUEL MIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
749 HUMMINGBIRD LN, NEW IBERIA, LA 70560-1451
(337) 321-1738
Mailing address
749 HUMMINGBIRD LN, NEW IBERIA, LA 70560-1451
(337) 321-1738
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP05182
LA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP05182
LA
Other
Enumeration date
05/11/2007
Last updated
11/10/2023
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