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NPI Code Detail

MEDICARE: MS. MARIAH AREON MAGEE FNP-C

MEDICARE: MS. MARIAH AREON MAGEE FNP-C
Medicare Provider Information

Scope of Practice

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

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner218700LA

General Provider Information

NPI Number : 1700548401
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MARIAH AREON MAGEE FNP-C
Provider Business Mailing Address
First Line : PO BOX 2854
Second Line :
City : LA PLACE
State : LA
Zip : 70069-2854
Country : US
Telephone Number : 504-701-3652
Fax Number :
Provider Business Practice Location Address
First Line : 13100 RIVER RD
Second Line :
City : DESTREHAN
State : LA
Zip : 70047-5219
Country : US
Telephone Number : 504-701-3652
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/10/2021
Last Update Date : 10/10/2021

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