Individual
MR. SHANE ANTHONY SCHRUFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
3348 W ESPLANADE AVE S, SUITE A, METAIRIE, LA 70002-3475
(504) 455-2240
Mailing address
73589 HIGHWAY 437, COVINGTON, LA 70435-6159
(504) 388-3249
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP07148
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07148
LOUISIANA STATE BOARD OF NURSING, ADVANCED PRACTICE REGISTERED NURSE
LA
01
—
F1112162
AMERICAN ACADEMY OF NURSE PRACTITIONERS
—
Enumeration date
01/28/2013
Last updated
06/02/2021
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