Individual
MRS. AMANDA LEIGH HARRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
F.N.P.-C
Contact information
Practice address
600 S PINE ST, DERIDDER, LA 70634-4942
(337) 462-7100
Mailing address
PO BOX 504, DRY CREEK, LA 70637-0504
(337) 302-2739
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN122253
LA
363LF0000X
Family Nurse Practitioner
Primary
AP08787
LA
Other
Enumeration date
08/06/2012
Last updated
06/29/2016
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