MS. MIRIAM J WILBON


Address: 3330 Masonic Dr, Alexandria, LA 71301-3841
Phone: 3184871122

MS. MIRIAM J WILBON (NPI# 1629249347) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629249347
Entity Type Individual
Full Name MS. MIRIAM J WILBON
Credential PA
Practice Address 3330 Masonic Dr
Alexandria
LA 71301-3841
Mailing Address Po Box 1502
La Place
LA 70069-1502
Practice Telephone 3184871122
Mailing Telephone 9856518923
Enumeration Date 2008-03-20
Last Update Date 2017-02-22
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 246QM0706X Spec/Tech, Pathology
Specialization: Medical Technologist
G02542 LA Technologists, Technicians & Other Technical Service Providers
N 363A00000X Physician Assistant A10315 LA Physician Assistants & Advanced Practice Nursing Providers
Y 363AM0700X Physician Assistant
Specialization: Medical
A10315 LA Physician Assistants & Advanced Practice Nursing Providers
N 363AS0400X Physician Assistant
Specialization: Surgical Technologist
A10315 LA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
LA 1886203 05

Office Location

Street Address 3330 MASONIC DR
City ALEXANDRIA
State LA
Zip Code 71301-3841

Providers in the same location

NPI Name Taxonomy Address Enumeration
1548252760 Linda M Paul Nurse Practitioner 3330 Masonic Dr, Alexandria, LA 71301-3841 2005-08-16
1457981292 Elyse Leigh Poole Nurse Practitioner 3330 Masonic Dr, Alexandria, LA 71301-3841 2020-01-21
1457991671 Courtney Price Mansour Nurse Practitioner 3330 Masonic Dr, Alexandria, LA 71301-3841 2020-01-15
1396382560 Wilbur Eric Sharp Nurse Practitioner 3330 Masonic Dr, Alexandria, LA 71301-3841 2019-12-05
1225674427 Hospitalist Medicine Physicians of Louisiana - Shreveport, Inc. Internal Medicine 3330 Masonic Dr, Alexandria, LA 71301-3841 2019-11-22
1699317321 Jacintha Nnadi Registered Nurse 3330 Masonic Dr, Alexandria, LA 71301-3841 2019-10-15
1548810617 Catherine Cunningham Faucheaux Counselor 3330 Masonic Dr, Alexandria, LA 71301-3841 2019-09-19
1366091829 Ashley Brazzell Registered Nurse 3330 Masonic Dr, Alexandria, LA 71301-3841 2019-09-08
1972158152 Allison J Edwards Nurse Practitioner 3330 Masonic Dr, Alexandria, LA 71301-3841 2019-08-05
1548812829 Jennifer Marie Murphy Nurse Practitioner 3330 Masonic Dr, Alexandria, LA 71301-3841 2019-07-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1689217457 Geaux Trans Transportation Non-emergency Medical Transport (VAN) 3101 Quail Court Apt A, Alexanadria, LA 71301 2019-10-23
1679115497 Emily Belgard Case Manager/Care Coordinator 1715 Ashley Avenue, Suite A, Alexandria, LA 71301 2019-10-14
1316591878 Leronisha Murphey Technician 1300 Jackson Street, Alexandria, LA 71301 2019-08-01
1144782996 Ashley Billings Student in an Organized Health Care Education/Training Program 403 E 3rd Street Ste 3h, Family Medicine, Alexandria, LA 71301 2019-04-02
1740753110 Maranda Trotti Voorhies Nurse Practitioner 501 Medical Center Dr. Suite 200, Alexandria, LA 71301 2019-01-08
1326565359 Sheryl Ann Truman Registered Nurse 3224 Madonna Drive, Alexandria, LA 71301 2017-08-30
1770001620 Casey Holts Counselor 5760 Goodland Trace, Alexandria, LA 71301 2017-08-30
1942735956 Transforming Lives, Inc. Community/Behavioral Health 1428 Peterman Dr Ste A, Alexandria, LA 71301 2017-04-27
1790216703 Johnnetta Rutledge Counselor 39 Kent Ave, Alexandria, LA 71301 2017-03-22
1104367788 Clarissa Dione Pugh Counselor 23 Tennessee Ave, Alexandria, LA 71301 2017-03-15
Find all providers in zip 71301

Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1124638986 Courtney Anne Kassner Physician Assistant 2706 Davis Ave, Alexandria, VA 22302-2817 2020-08-06
1316418544 Kristen Elizabeth Dreyer Physician Assistant 5270 Duke St Apt C421, Alexandria, VA 22304-2943 2018-12-16
1083140677 Rachel Suzann Young Physician Assistant 1501 Duke St Ste 100, Alexandria, VA 22314-3449 2017-05-03
1770821381 Christine M Hollenbeck Physician Assistant 8101 Hinson Farm Rd Ste 219, Alexandria, VA 22306-3406 2013-01-17
1811244007 Jennifer Weiss Physician Assistant 4660 Kenmore Ave Ste 810, Alexandria, VA 22304-1300 2012-08-07
1528237724 Amy Michelle Suter Physician Assistant 4615 Parliament Dr Ste 204, Alexandria, LA 71303-2780 2008-02-21
1174727986 Jamie Dunn Perrotti Physician Assistant 145 Yorktown Dr, Alexandria, LA 71303-3621 2007-06-14
1174686877 Hazel Alviar Physician Assistant 1011 Snow White Dr, Alexandria, LA 71303-3234 2006-12-18
1003921008 Jessica Suppa Ware Physician Assistant 4401 Ford Ave Ste 250, Alexandria, VA 22302-1467 2006-08-20
1316955453 Lori Ann Romano-collins Physician Assistant 8219 Treebrooke Ln, Alexandria, VA 22308-1746 2006-08-04
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Competitor

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City ALEXANDRIA
Zip Code 71301

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Dataset Information

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.

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