MRS. MIRANDA RENEE WILLIS (NPI# 1578043444) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578043444 |
| Entity Type | Individual |
| Full Name | MRS. MIRANDA RENEE WILLIS |
| Credential | FNP-C |
| Practice Address |
5646 Read Blvd # 280 New Orleans LA 70127-3106 |
| Mailing Address |
Po Box 672 Hammond LA 70404-0672 |
| Practice Telephone | 5042461452 |
| Enumeration Date | 2018-08-20 |
| Last Update Date | 2018-08-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP09831 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5646 READ BLVD # 280 |
| City | NEW ORLEANS |
| State | LA |
| Zip Code | 70127-3106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114567302 | Ruth Bermudez | Peer Specialist | 4747 Earhart Blvd Suite D, New Orleans, LA 70127 | 2020-01-15 |
| 1457830036 | Generations Health Inc | Case Manager/Care Coordinator | 8000 Crowder Blvd Ste B, New Orleans, LA 70127 | 2018-08-14 |
| 1881189066 | Gwendolyn A Brown | Psychologist | 9840 Andover Dr, New Orleans, LA 70127 | 2018-06-29 |
| 1407349095 | Impressive Diagnostics | Pathology | 7011 Read Blvd Ste I, New Orleans, LA 70127 | 2018-06-08 |
| 1528555760 | Traveling Grace Transportation Service LLC | Military/U.S. Coast Guard Transport | 7520 Shubrick Street, New Orleans, LA 70127 | 2018-04-13 |
| 1417450420 | Shannon Louella Bullock | Counselor | 10711 Vienna St, New Orleans, LA 70127 | 2018-03-15 |
| 1942719026 | Brianna Truffa | Counselor | 10001 Lake Forest Blvd., Suite 302, New Orleans, LA 70127 | 2017-09-21 |
| 1609303338 | Briana Alphonse | Counselor | 7240 Crowder Boulevard, Suite 202, New Orleans, LA 70127 | 2017-05-12 |
| 1679006720 | Michele Torregano | Case Manager/Care Coordinator | 10110 Deerfield Dr, New Orleans, LA 70127 | 2017-04-05 |
| 1083152128 | Keisha Black | Counselor | 8470 Morrison Road, Suite A, New Orleans, LA 70127 | 2017-02-09 |
| Find all providers in zip 70127 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770102030 | Molvie Greene | Nurse Practitioner | 10 Fairway Oaks Dr, New Orleans, LA 70131-3336 | 2020-04-15 |
| 1942832324 | Latonya Darensbourg | Nurse Practitioner | 2601 Gentilly Blvd, New Orleans, LA 70122-3043 | 2020-02-04 |
| 1659901346 | Roma L Victor | Nurse Practitioner | 214 Topaz St, New Orleans, LA 70124-2634 | 2020-01-22 |
| 1740831916 | Trish E Dauphin | Nurse Practitioner | 3405 St.claude, New Orleans, LA 70117-7011 | 2019-09-27 |
| 1215582309 | Christine Payton | Nurse Practitioner | 3969 Mimosa Dr, New Orleans, LA 70131-8311 | 2019-08-06 |
| 1851952410 | Nola Central City Clinic | Nurse Practitioner | 1301 Simon Bolivar Ave Apt 227, New Orleans, LA 70113-2272 | 2019-06-25 |
| 1003389628 | Premier Medical Clinics | Nurse Practitioner | 3405 Saint Claude Ave Ste C, New Orleans, LA 70117-6144 | 2019-01-07 |
| 1417434333 | Meghan Traylor | Nurse Practitioner | 411 N Carrollton Ave Ste 4, New Orleans, LA 70119-4754 | 2018-07-24 |
| 1215422324 | Kenneth Sehon | Nurse Practitioner | 1514 Jefferson Hwy, Ct 6, New Orleans, LA 70121-2429 | 2018-06-30 |
| 1104342682 | Aniece Nicole Smith | Nurse Practitioner | 5501 Tullis Dr Apt 2-108, New Orleans, LA 70131-8864 | 2017-08-16 |
| Find all providers in NEW ORLEANS | ||||
| City | NEW ORLEANS |
| Zip Code | 70127 |
Please comment or provide details below to improve the information on MRS. MIRANDA RENEE WILLIS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.