Individual
AMBROSIA T. HOLSAPPLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2551 GREENWOOD RD, SUITE 410, SHREVEPORT, LA 71103-3981
(318) 621-2929
(318) 621-2930
Mailing address
2551 GREENWOOD RD, SUITE 410, SHREVEPORT, LA 71103-3981
(318) 621-2929
(318) 621-2930
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN110609
LA
Other
Enumeration date
06/17/2013
Last updated
06/17/2013
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