Provider Demographics
NPI:1275268104
Name:SCHEXNAYDER, TRAMAIRA
Entity Type:Individual
Prefix:
First Name:TRAMAIRA
Middle Name:
Last Name:SCHEXNAYDER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:514 COURTHOUSE LN
Mailing Address - Street 2:
Mailing Address - City:HAHNVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70057-2132
Mailing Address - Country:US
Mailing Address - Phone:504-914-4821
Mailing Address - Fax:
Practice Address - Street 1:514 COURTHOUSE LN
Practice Address - Street 2:
Practice Address - City:HAHNVILLE
Practice Address - State:LA
Practice Address - Zip Code:70057-2132
Practice Address - Country:US
Practice Address - Phone:504-914-4821
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-25
Last Update Date:2022-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA5091682172A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA5091682OtherDRIVER'S LICENSE
LA5091682Medicaid