Individual
MRS. KATHERINE MARANTO SALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, WHNP-BC
Contact information
Practice address
827 MARGARET PL, SUITE 201, SHREVEPORT, LA 71101-4523
(318) 227-2912
Mailing address
4462 RED BLUFF RD, GLOSTER, LA 71030-3285
(318) 461-2560
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
RN113773-AP06407
LA
Other
Enumeration date
05/20/2011
Last updated
05/20/2011
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