Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. MIRIAM J WILBON, PA
Active Sole ProprietorMedical Physician Assistant · ALEXANDRIA, LA
Registration Details
- NPI Number
- 1629249347
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 20, 2008 (18.092270245283 yrs)
- Last Updated
- Feb 22, 2017
- Licenses
-
G02542 (LA)A10315 (LA)A10315 (LA)A10315 (LA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3330 MASONIC DRALEXANDRIA, LA, 713013841Browse LA providers · Browse ZIP 71301
- Phone
- 3184871122
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
- Additional Specialty
- Physician Assistant
- Additional Specialty
- Medical Physician Assistant
- Additional Specialty
- Surgical Physician Assistant
Other Medical Physician Assistant Providers in ALEXANDRIA, LA
| Name | Credential | NPI |
|---|---|---|
| MS. KELLY G WHITE | PA-C | 1063415180 |
| JAMIE DUNN PERROTTI | PA | 1174727986 |
| MRS. AMY MICHELLE SUTER | PA-C | 1528237724 |
| MRS. SARAH JEAN GRIFFIN | P.A. | 1396093837 |
| LINDSAY TAYLOR VAUGHAN | PA | 1407689987 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.