Orleans Family Practice, Llc | |
9970 Lake Forest Blvd New Orleans LA 70127-2609 | |
(504) 208-8467 | |
(504) 975-6047 |
Full Name | Orleans Family Practice, Llc |
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Speciality | Clinic/Center |
Location | 9970 Lake Forest Blvd, New Orleans, Louisiana |
Authorized Official Name and Position | Angela Marie Bradley-byers (FAMILY NURSE PRACTITIONER) |
Authorized Official Contact | 5046066363 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Orleans Family Practice, Llc 6900 Bamberry St New Orleans LA 70126-2714 Ph: (504) 208-8467 | Orleans Family Practice, Llc 9970 Lake Forest Blvd New Orleans LA 70127-2609 Ph: (504) 208-8467 |
NPI Number | 1508161068 |
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Provider Enumeration Date | 01/13/2011 |
Last Update Date | 12/03/2021 |
Medicare PECOS PAC ID | 9234302118 |
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Medicare Enrollment ID | O20111109000825 |
Identifier | Type | State | Issuer |
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1508161068 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
Provider Name | Angela Bradley Byers |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619279353 PECOS PAC ID: 4688847569 Enrollment ID: I20111117000178 |
Provider Name | Winifred E Johnson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861779779 PECOS PAC ID: 0345488664 Enrollment ID: I20130529000022 |
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