Basic Information
| Provider Information | |||||||||
| NPI: | 1013338094 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SIREN | ||||||||
| FirstName: | JULIA | ||||||||
| MiddleName: | |||||||||
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| Credential: | APRN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 517 N RAMPART ST | ||||||||
| Address2: | 4TH FLOOR | ||||||||
| City: | NEW ORLEANS | ||||||||
| State: | LA | ||||||||
| PostalCode: | 701123503 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5046582540 | ||||||||
| FaxNumber: | 5045991057 | ||||||||
| Practice Location | |||||||||
| Address1: | 517 N RAMPART ST | ||||||||
| Address2: | 4TH FLOOR | ||||||||
| City: | NEW ORLEANS | ||||||||
| State: | LA | ||||||||
| PostalCode: | 701123503 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5046582540 | ||||||||
| FaxNumber: | 5045991057 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/18/2013 | ||||||||
| LastUpdateDate: | 04/15/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 03/19/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LW0102X | AP04432 | LA | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Women's Health |
ID Information
| ID | Type | State | Issuer | Description | 2382241 | 05 | LA | MEDICAID |