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Individual

ANNA MICHELE WREN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1111 LINE AVE FL 3, SHREVEPORT, LA 71101-3841
(318) 716-4610
(318) 716-4690
Mailing address
1111 LINE AVE FL 3, SHREVEPORT, LA 71101-3841
(318) 716-4610
(318) 716-4690

Taxonomy

Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
203345
LA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
203345
LA

Other

Enumeration date
02/07/2024
Last updated
12/08/2025
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