Provider Demographics
NPI:1487311916
Name:ALFORD, LAPORSCHA (CNA)
Entity type:Individual
Prefix:
First Name:LAPORSCHA
Middle Name:
Last Name:ALFORD
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:211 N HILLS ST APT I7
Mailing Address - Street 2:
Mailing Address - City:MERIDIAN
Mailing Address - State:MS
Mailing Address - Zip Code:39305-2223
Mailing Address - Country:US
Mailing Address - Phone:601-480-2655
Mailing Address - Fax:
Practice Address - Street 1:211 N HILLS ST APT I7
Practice Address - Street 2:
Practice Address - City:MERIDIAN
Practice Address - State:MS
Practice Address - Zip Code:39305-2223
Practice Address - Country:US
Practice Address - Phone:601-480-2655
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-18
Last Update Date:2021-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSA075221376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide