Individual
AMY SHEPHERD PRUDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2647 S SAINT ELIZABETH BLVD STE 308, GONZALES, LA 70737-5020
(225) 765-5500
(225) 765-9419
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(225) 765-5500
(225) 765-9196
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP07035
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2350625
—
LA
Enumeration date
08/31/2012
Last updated
09/05/2024
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