Individual
AMANDA EADES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2727 HEARNE AVE, SHREVEPORT, LA 71103-3917
(318) 631-6400
Mailing address
8713 PINEHAVEN DR, KEITHVILLE, LA 71047-9774
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
231615
LA
Other
Enumeration date
11/13/2023
Last updated
11/13/2023
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