Individual
ANTERRICA GWENA' MYLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1800 BUCKNER ST STE A206, SHREVEPORT, LA 71101-4438
(318) 678-8801
Mailing address
1088 FRONTAGE RD, MINDEN, LA 71055-7861
(318) 588-2147
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
237401
LA
363LP2300X
Primary Care Nurse Practitioner
Primary
237401
LA
Other
Enumeration date
10/23/2024
Last updated
01/23/2026
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