Individual
TINA CAUDLE PRICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, AGNP-C
Contact information
Practice address
1541 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 626-0000
Mailing address
8001 YOUREE DR STE 800, SHREVEPORT, LA 71115-2353
(318) 212-2729
(318) 212-2760
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
569299
TX
363L00000X
Nurse Practitioner
AP130610
TX
363LF0000X
Family Nurse Practitioner
Primary
226256
LA
Other
Enumeration date
10/25/2011
Last updated
01/13/2025
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