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NPI Code Detail

MEDICARE: VALERIE E DAIRE PA

MEDICARE:   VALERIE E DAIRE  PA
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
1363A00000XPhysician Assistant320096LA

General Provider Information

NPI Number : 1972155851
Entity Type Code : Individual
Provider Name (Legal Business Name) : VALERIE E DAIRE PA
Provider Business Mailing Address
First Line : 1514 JEFFERSON HWY
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70121-2483
Country : US
Telephone Number : 504-842-3000
Fax Number :
Provider Business Practice Location Address
First Line : 5444 BURBANK DR
Second Line :
City : BATON ROUGE
State : LA
Zip : 70820-4011
Country : US
Telephone Number : 225-388-6630
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2019
Last Update Date : 07/24/2025

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Directions to “ VALERIE E DAIRE PA” Practice Location

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