Individual
MRS. ALICIA DIANE SCHOLLMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2600 KINGS HWY STE 200, SHREVEPORT, LA 71103-3951
(318) 212-8620
Mailing address
2600 KINGS HWY STE 200, SHREVEPORT, LA 71103-3951
(318) 212-8620
Taxonomy
Speciality
Code
Description
License number
State
163WX0200X
Oncology Registered Nurse
208047
LA
363LF0000X
Family Nurse Practitioner
Primary
208047
LA
364SX0200X
Oncology Clinical Nurse Specialist
208047
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
203375501
—
TX
05
—
2515756
—
LA
05
—
29457010
—
TX
Enumeration date
11/17/2011
Last updated
08/01/2024
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