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NPI Code Detail

MEDICARE: MS. ELIDIA ANNE DEWITT NP

MEDICARE:  MS. ELIDIA ANNE DEWITT  NP
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 PractitionerAP04211LA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1982607420
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ELIDIA ANNE DEWITT NP
Provider Business Mailing Address
First Line : PO BOX 62600 DEPT 1744
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70162-0001
Country : US
Telephone Number : 225-368-2300
Fax Number : 225-368-2280
Provider Business Practice Location Address
First Line : 9118 BLUEBONNET CENTRE BLVD
Second Line :
City : BATON ROUGE
State : LA
Zip : 70809-2993
Country : US
Telephone Number : 225-368-2300
Fax Number : 225-368-2280
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/28/2005
Last Update Date : 09/28/2019

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Directions to “ MS. ELIDIA ANNE DEWITT NP” Practice Location

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