Provider Demographics
NPI:1427454693
Name:CARAWAY, RENA
Entity type:Individual
Prefix:MS
First Name:RENA
Middle Name:
Last Name:CARAWAY
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 1:3714 EARHART BLVD
Mailing Address - Street 2:UNIT B
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70125-1418
Mailing Address - Country:US
Mailing Address - Phone:229-296-6644
Mailing Address - Fax:
Practice Address - Street 1:3714 EARHART BLVD
Practice Address - Street 2:UNIT B
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70125-1418
Practice Address - Country:US
Practice Address - Phone:504-253-4678
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-11-14
Last Update Date:2014-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1710I1002XOther Service ProvidersMilitary Health Care ProviderIndependent Duty Corpsman