Individual
MRS. ANGELA BIRDSONG FELLOWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1666 E BERT KOUN LOOP, SHREVEPORT, LA 71105-5714
(318) 212-3520
(318) 212-3965
Mailing address
PO BOX 16435, LOVES PARK, IL 61132-6435
(318) 212-3520
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP04997
LA
Other
Enumeration date
10/05/2006
Last updated
04/01/2016
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