NPI Code Details Logo

NPI 1265764799

NPI 1265764799 : MEREDITH ERIN TITTSWORTH ARNP : HAMMOND, LA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1265764799
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    MEREDITH ERIN TITTSWORTH ARNP
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    02/09/2010
-----------------------------------------------------
    Last Update Date     |    09/05/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    15813 PAUL VEGA MD DR STE 200 
-----------------------------------------------------
    City                 |    HAMMOND
-----------------------------------------------------
    State                |    LA
-----------------------------------------------------
    Zip                  |    70403-1431
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    985-230-7650
-----------------------------------------------------
    Fax                  |    985-230-7655
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    67070 LOCKE ST 
-----------------------------------------------------
    City                 |    MANDEVILLE
-----------------------------------------------------
    State                |    LA
-----------------------------------------------------
    Zip                  |    70471-6908
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    985-875-4774
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    363LW0102X
-----------------------------------------------------
    Taxonomy Name        |    Women's Health Nurse Practitioner
-----------------------------------------------------
    License Number       |    AP10127
-----------------------------------------------------
    License Number State |    LA
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.