Individual
MIRANDA ALLEN HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
3235 PERKINS RD, BATON ROUGE, LA 70808-2256
(225) 387-3030
Mailing address
3235 PERKINS RD, BATON ROUGE, LA 70808-2256
(225) 387-3030
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
237767
LA
363LF0000X
Family Nurse Practitioner
907237
MS
Other
Enumeration date
05/12/2025
Last updated
05/12/2025
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