Individual
CHENOA MADERE HAKUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2727 HEARNE AVE STE 301, SHREVEPORT, LA 71103-3918
(318) 631-6400
Mailing address
2002 RAY AVE, BOSSIER CITY, LA 71112-4140
(318) 469-5042
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP10173
LA
Other
Enumeration date
07/25/2018
Last updated
07/16/2021
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