Individual
AMANDA CARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
309 JACKSON ST, MONROE, LA 71201-7407
(318) 966-4159
Mailing address
PO BOX 1901, MONROE, LA 71210-1901
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
RN100329
LA
Other
Enumeration date
04/09/2010
Last updated
04/09/2010
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