Individual
MS. SHETILA BURRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
9405 CORTANA PL, BATON ROUGE, LA 70815-8606
(225) 300-6010
(225) 529-3744
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(225) 526-0001
(225) 765-9196
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
AP007758
LA
363LF0000X
Family Nurse Practitioner
Primary
AP07758
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
81-1418130
—
LA
Enumeration date
03/28/2014
Last updated
05/13/2019
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