Individual
MRS. SHANNEN IVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
426 CHARLES ST, NEW IBERIA, LA 70560-3707
(337) 365-4156
(337) 365-4095
Mailing address
426 CHARLES ST, NEW IBERIA, LA 70560-3707
(337) 365-4156
(337) 365-4095
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
237081
LA
Other
Enumeration date
09/26/2024
Last updated
09/26/2024
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