Healthcare Provider Details

I. General information

NPI: 1053697599
Provider Name (Legal Business Name): MIA TRUPIANO NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MIA MICHELLE TRUPIANO RN

II. Dates (important events)

Enumeration Date: 10/28/2011
Last Update Date: 11/08/2023
Certification Date: 11/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1125 N TONTI ST
NEW ORLEANS LA
70119-3598
US

IV. Provider business mailing address

1125 N TONTI ST
NEW ORLEANS LA
70119-3598
US

V. Phone/Fax

Practice location:
  • Phone: 504-821-9211
  • Fax: 504-324-8614
Mailing address:
  • Phone: 504-383-8559
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN132352
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP09281
License Number StateLA
# 3
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAP09281
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: