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AMANDA IDDINS HARRIS NP NPI 1114241460


NPI Information

NPI: 1114241460
Provider Name: AMANDA IDDINS HARRIS, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
10100 GOODWOOD BLVD
BATON ROUGE, LA
ZIP 70815
Phone: (225) 924-7707
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Amanda Iddins Harris, NP is a family nurse practitioner in Baton Rouge, LA. Amanda Iddins Harris, NP NPI is 1114241460. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

10100 GOODWOOD BLVD
BATON ROUGE, LA
ZIP 70815-521
Phone: (225) 924-7707
Fax: (225) 926-9467

The enumeration date for this NPI number is 3/16/2010 and was last updated on 5/20/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LF0000XNurse PractitionerFamilyRN107544AP06096LOUISIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
14P495MEDICARE PINLOUISIANA
22113259MEDICAIDLOUISIANA
300879558MEDICAIDMISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.