Individual
SHEA EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
409 NW CENTRAL AVE, AMITE, LA 70422-2428
(985) 748-7141
Mailing address
409 NW CENTRAL AVE, AMITE, LA 70422-2428
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
204045
LA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
LA204045
LA
Other
Enumeration date
04/01/2019
Last updated
03/09/2026
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