Individual
MIRANDA MARIE LACROIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-STUDENT
Contact information
Practice address
640 JACKSON ST, SAINT PAUL, MN 55101-2502
(651) 254-3456
Mailing address
640 JACKSON ST, SAINT PAUL, MN 55101-2595
(651) 254-3456
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
13913
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
378862
WISCONSIN NURSE AIDE
WI
Enumeration date
09/15/2020
Last updated
12/06/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us