Individual
DANA SUMBLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1625 DAVID RAINES RD, SHREVEPORT, LA 71107-2712
(318) 425-2252
Mailing address
3041 DR. MARTIN LUTHER KING DR, SHREVEPORT, LA 71107-5899
(318) 227-3350
(318) 222-2979
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP09007
LA
Other
Enumeration date
08/23/2016
Last updated
04/13/2017
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