Individual
MRS. AMANDA CARFAGNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3100 SAMFORD AVE, SHREVEPORT, LA 71103-4239
(318) 226-3306
(318) 226-3319
Mailing address
PO BOX 8500, LOCKBOX 7642, PHILADELPHIA, PA 19178-7642
(813) 821-8478
(813) 281-8113
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
9331214
FL
363LP0200X
Pediatric Nurse Practitioner
Primary
AP09973
LA
Other
Enumeration date
06/26/2018
Last updated
10/04/2018
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