Individual
MRS. MYRA LYNN ALDERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
121 CHRISTIAN DR, RAYVILLE, LA 71269-3658
(318) 728-0175
(318) 728-0173
Mailing address
P.O. BOX 749, RAYVILLE, LA 71269-3658
(318) 728-0175
(318) 728-0173
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP02066
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1530913
—
LA
Enumeration date
02/02/2007
Last updated
06/15/2016
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