Provider Demographics
NPI:1003335522
Name:DEGREE, SAMIYYA ANTOINETTE
Entity Type:Individual
Prefix:MS
First Name:SAMIYYA
Middle Name:ANTOINETTE
Last Name:DEGREE
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:SAMIYYA
Other - Middle Name:ANTOINETTE
Other - Last Name:DEGREE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1525 L B LANDRY AVE
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70114-6058
Mailing Address - Country:US
Mailing Address - Phone:504-908-2358
Mailing Address - Fax:
Practice Address - Street 1:1525 L B LANDRY AVE
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70114
Practice Address - Country:US
Practice Address - Phone:504-908-2358
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-15
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator