Individual
NATALIE MOFFIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AG-ACNP
Contact information
Practice address
1453 E BERT KOUN LOOP, SHREVEPORT, LA 71105-6800
(318) 681-4500
Mailing address
1453 E BERT KOUN LOOP, SHREVEPORT, LA 71105-6800
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
231989
LA
363LA2100X
Acute Care Nurse Practitioner
Primary
231989
LA
Other
Enumeration date
09/18/2023
Last updated
08/04/2024
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