Keishea Mitchell, LPN
Individual provider Active NPI Licensed Practical Nurse · Vacherie, LA
NPI 1710505367 · NPPES record last updated Jul 9, 2020
Key facts
- NPI
- 1710505367
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 20130449 (LA)
- Practice address
- 3184 Harrison St
Vacherie, LA 70090-7035 - Phone
- (225) 624-8269
- NPI assigned
- Jul 9, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20130449 | LA | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 20130449 | LA | Yes |
Addresses
Primary practice location
3184 Harrison St
Vacherie, LA 70090-7035
Mailing address
3184 Harrison St
Vacherie, LA 70090-7035
Other providers in Vacherie, LA
- Lynsey Landry
- Emily Ann Earline Lassere
- Denise Louque
- Albert Joseph Mahler Jr.
- Courtney St. Pierre Mistretta
- Tanisha Moore
- Nephrology Associates
- New Hope Adult Day Health Care, Inc
- Michael Dirk Ory
- Renisha Cecilia Oubre
All providers in Vacherie, LA · Licensed Practical Nurse in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.