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NPI Code Detail

MEDICARE: MRS. PORSCHE CEAIRO IVORY UCHE NP

MEDICARE: MRS. PORSCHE CEAIRO IVORY UCHE 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 Practitioner219450LA
2363L00000XNurse Practitioner219450LA

General Provider Information

NPI Number : 1528637113
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. PORSCHE CEAIRO IVORY UCHE NP
Provider Business Mailing Address
First Line : 8401 PICARDY AVE
Second Line :
City : BATON ROUGE
State : LA
Zip : 70809-3685
Country : US
Telephone Number : 225-308-0247
Fax Number : 225-308-0249
Provider Business Practice Location Address
First Line : 8401 PICARDY AVE
Second Line :
City : BATON ROUGE
State : LA
Zip : 70809-3685
Country : US
Telephone Number : 225-308-0247
Fax Number : 225-308-0249
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/18/2021
Last Update Date : 03/04/2026

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