Fernando, Myra Deanne

Fernando, Myra Deanne is an individual health care provider with primary practice located at 1440 Canal St , New Orleans LA 70112-2703. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is her primary health care specialty. Fernando, Myra Deanne can be contacted via phone (504) 988-5031.

Contact Information

Primary practice address
1440 Canal St New Orleans LA 70112-2703
Phone: (504) 988-5031
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X DO.000467 Louisiana

Profile Details

NPI number 1528325883
LBN Legal business name Fernando, Myra Deanne
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2012
Last updated Oct 7th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528325883 NPPES
Louisiana MEDICAID 2300393

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