Healthcare Provider Details

I. General information

NPI: 1164851176
Provider Name (Legal Business Name): ST. ANNA'S EPISCOPAL CHURCH IN NEW ORLEANS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/11/2013
Last Update Date: 11/11/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1313 ESPLANADE AVE
NEW ORLEANS LA
70116-1836
US

IV. Provider business mailing address

1313 ESPLANADE AVE
NEW ORLEANS LA
70116-1836
US

V. Phone/Fax

Practice location:
  • Phone: 504-947-2121
  • Fax: 504-947-2122
Mailing address:
  • Phone: 504-947-2121
  • Fax: 504-947-2122

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QC1500X
TaxonomyCommunity Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. DIANA MEYERS
Title or Position: COMMUNITY WELLNESS DIRECTOR
Credential: RN
Phone: 504-947-2121