MEDICARE: MORNING STAR RISING, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	363LF0000X	Family Nurse Practitioner
2	363LX0001X	Obstetrics & Gynecology Nurse Practitioner
3	363L00000X	Nurse Practitioner
4	363LW0102X	Women's Health Nurse Practitioner

General Provider Information

NPI Number	:	1295114031
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MORNING STAR RISING, INC.

Provider Business Mailing Address
First Line	:	4612 S CLAIBORNE AVE
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70125-5010
Country	:	US
Telephone Number	:	504-496-0214
Fax Number	:	504-831-3155

Provider Business Practice Location Address
First Line	:	4612 S CLAIBORNE AVE
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70125-5010
Country	:	US
Telephone Number	:	504-496-0214
Fax Number	:	504-831-3155

Authorized Official
Title or Position	:	CEO
Name	:	ALLISON DAIGLE
Credential	:
Telephone Number	:	504-496-0214

Provider Enumeration Date	:	05/27/2015
Last Update Date	:	05/21/2024

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