Individual
SUSANNA SQUYRES LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-BC
Contact information
Practice address
740 KEYSER AVE STE E, NATCHITOCHES, LA 71457-6083
(318) 238-5300
Mailing address
PO BOX 2475, NATCHITOCHES, LA 71457-2475
(318) 238-5300
(318) 238-5301
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
206968
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2514342
—
LA
Enumeration date
08/14/2019
Last updated
06/25/2024
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