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Individual

MRS. AMANDA HOOPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ACNP

Contact information

Practice address
2600 TOWER DR STE 406, MONROE, LA 71201-5783
(985) 892-7070
(985) 892-7017
Mailing address
PO BOX 1089, HAMMOND, LA 70404-1089
(985) 892-7070
(985) 892-7017

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
117465
LA
363LA2100X
Acute Care Nurse Practitioner
Primary
AP06266
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2156985
LA
Enumeration date
01/13/2011
Last updated
05/22/2019
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