Provider Demographics
NPI:1427028844
Name:TRAYLOR, ANGELA NORREEN (MD)
Entity Type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:NORREEN
Last Name:TRAYLOR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1440 CANAL ST
Mailing Address - Street 2:STE. 1000
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70112-2703
Mailing Address - Country:US
Mailing Address - Phone:504-988-5405
Mailing Address - Fax:504-988-4270
Practice Address - Street 1:1415 TULANE AVE
Practice Address - Street 2:HC-82
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70112-2600
Practice Address - Country:US
Practice Address - Phone:504-988-5405
Practice Address - Fax:504-988-2305
Is Sole Proprietor?:No
Enumeration Date:2006-01-26
Last Update Date:2022-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA0250952084P0800X, 2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1422681Medicaid
LA4N558Medicare PIN