Individual
CHRISTY STANFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
9329 SAVANNA DR, SHREVEPORT, LA 71118-3216
(318) 564-5494
Mailing address
9329 SAVANNA DR, SHREVEPORT, LA 71118-3216
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
140041
LA
163W00000X
Registered Nurse
835997
TX
164W00000X
Licensed Practical Nurse
20100219
LA
Other
Enumeration date
03/09/2015
Last updated
03/09/2015
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