TYRA BRANCH (NPI# 1497369052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497369052 |
| Entity Type | Individual |
| Full Name | TYRA BRANCH |
| Credential | FNP-C |
| Practice Address |
1101 Medical Center Blvd Marrero LA 70072-3147 |
| Practice Telephone | 5043475511 |
| Mailing Telephone | 5043475511 |
| Enumeration Date | 2020-09-01 |
| Last Update Date | 2020-09-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
213652 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1101 MEDICAL CENTER BLVD |
| City | MARRERO |
| State | LA |
| Zip Code | 70072-3147 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679576318 | Raymond Clay Gould | Radiology | 1101 Medical Center Blvd, Marrero, LA 70072-3147 | 2005-05-26 |
| 1811509771 | Tamara Lee | Nurse Practitioner | 1101 Medical Center Blvd, Marrero, LA 70072-3147 | 2020-08-20 |
| 1679192983 | Eboni Brayell Payton | Nurse Practitioner | 1101 Medical Center Blvd, Marrero, LA 70072-3147 | 2020-04-16 |
| 1316576408 | Lauren Eustis Mcmanamon | Student in an Organized Health Care Education/Training Program | 1101 Medical Center Blvd, Marrero, LA 70072-3147 | 2020-04-02 |
| 1336788769 | Jennifer Le | Nurse Anesthetist, Certified Registered | 1101 Medical Center Blvd, Marrero, LA 70072-3147 | 2020-01-02 |
| 1255991725 | Kristin Burnett | Physical Therapist | 1101 Medical Center Blvd, Marrero, LA 70072-3147 | 2019-06-17 |
| 1568021186 | Alexander D Wong | Nurse Anesthetist, Certified Registered | 1101 Medical Center Blvd, Marrero, LA 70072-3147 | 2019-06-07 |
| 1033649124 | Rosalie Marie Larson | Registered Nurse | 1101 Medical Center Blvd, Marrero, LA 70072-3147 | 2017-06-13 |
| 1811425523 | Maria D Davis | Respiratory Therapist, Registered | 1101 Medical Center Blvd, Marrero, LA 70072-3147 | 2017-05-24 |
| 1265964191 | Shaza R Mohamed | Internal Medicine | 1101 Medical Center Blvd, 4 West, Marrero, LA 70072 | 2017-03-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780232579 | Brittany Inez Young | Technician | 4465 Bay View Drive, Marrero, LA 70072 | 2019-08-27 |
| 1356829774 | Zachary Allen Runge Kleinpeter | Physician Assistant | 1111 Medical Center Blvd Ste S630, Marrero, LA 70072 | 2018-07-30 |
| 1689172611 | Derron White | Specialist | 2324 Barataria Blvd, Marrero, LA 70072 | 2018-01-24 |
| 1477064616 | Bone & Joint, LLC Physical Therapy | Physical Therapist | 4633 Wichers Dr., Marrero, LA 70072 | 2017-10-16 |
| 1477077410 | Darlene Jenkins | Case Manager/Care Coordinator | 7606 Westbank Expy Ste B, Marrero, LA 70072 | 2017-08-01 |
| 1871017186 | Tyra K Haynes | Non-emergency Medical Transport (VAN) | 536 Westwood Drive, Marrero, LA 70072 | 2017-07-28 |
| 1265961536 | Danika Kayelle Frank | Social Worker | 6189 Boutte St, Marrero, LA 70072 | 2017-06-08 |
| 1528596673 | Monica Cheree Mayberry | Counselor | 931 Westwood Dr., Marrero, LA 70072 | 2017-06-01 |
| 1710419197 | Sharla Black | Counselor | 2069 Paine Drive, Marrero, LA 70072 | 2017-04-03 |
| 1699207043 | Tango Austin | Counselor | 2573 Foliage Drive, Marrero, LA 70072 | 2017-04-03 |
| Find all providers in zip 70072 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316568686 | Carlita Durall | Nurse Practitioner | 1624 Farrington Dr, Marrero, LA 70072-4018 | 2020-04-28 |
| 1225558976 | Courtney R Clement | Nurse Practitioner | 1111 Medical Center Blvd Ste 350, Marrero, LA 70072-3186 | 2017-06-23 |
| 1013469022 | Nadinna Joseph | Nurse Practitioner | 534 Avenue C, Marrero, LA 70072-2022 | 2016-10-26 |
| 1629441282 | Callie Estes Rothwell | Nurse Practitioner | 1111 Medical Center Blvd Ste N406, Marrero, LA 70072-3155 | 2015-11-04 |
| 1407240310 | Johnether Smith | Nurse Practitioner | 1080 Artesa Dr, Marrero, LA 70072-5967 | 2015-03-28 |
| 1730578881 | Danielle Rae Alfortish | Nurse Practitioner | 1111 Medical Center Blvd Ste S-750, Marrero, LA 70072-3151 | 2015-01-13 |
| 1003155227 | Hilary Gary Fincke | Nurse Practitioner | 1111 Medical Center Blvd Ste N804, Marrero, LA 70072-3173 | 2013-02-07 |
| 1710146196 | Maria-azucena Mercado Ramos | Nurse Practitioner | 1111 Medical Center Blvd Ste S113, Marrero, LA 70072-3151 | 2008-06-02 |
| 1174526644 | Ana Maria H. Hebert | Nurse Practitioner | 1111 Medical Center Blvd N713, Marrero, LA 70072 | 2005-05-27 |
| 1811509771 | Tamara Lee | Nurse Practitioner | 1101 Medical Center Blvd, Marrero, LA 70072-3147 | 2020-08-20 |
| Find all providers in MARRERO | ||||
Please comment or provide details below to improve the information on TYRA BRANCH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.