Individual provider · NPI-1

Myra Brady

Community Health Worker · New Orleans, LA

NPI number1740640994
StatusActive
Last updated in NPPESMar 1, 2016

Details

NPI
1740640994
Entity type
Individual (NPI-1)
Name
Myra Brady
Sex
Female
Sole proprietor
No
Enumeration date
Mar 1, 2016
Last updated
Mar 1, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
172V00000X Community Health Worker––Yes

Practice location

9970 Lake Forest Blvd
Suite A
New Orleans, LA 70127-2609

Phone 504-267-0194 · Fax 504-267-3285

Mailing address

9970 Lake Forest Blvd
Suite A
New Orleans, LA 70127-2609

Phone 504-267-0194 · Fax 504-267-3285

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