Provider Demographics
NPI:1053697599
Name:TRUPIANO, MIA (NP)
Entity type:Individual
Prefix:MISS
First Name:MIA
Middle Name:
Last Name:TRUPIANO
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MISS
Other - First Name:MIA
Other - Middle Name:MICHELLE
Other - Last Name:TRUPIANO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:1125 N TONTI ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70119-3598
Mailing Address - Country:US
Mailing Address - Phone:504-383-8559
Mailing Address - Fax:
Practice Address - Street 1:1125 N TONTI ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70119-3598
Practice Address - Country:US
Practice Address - Phone:504-821-9211
Practice Address - Fax:504-324-8614
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-28
Last Update Date:2023-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LARN132352163W00000X
LAAP09281363LF0000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily