Individual
SONJA SIMPKINS BAMBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
104 CONNIE WALTERS RD, CALHOUN, LA 71225-8674
(318) 801-8456
Mailing address
104 CONNIE WALTERS RD, CALHOUN, LA 71225-8674
(318) 801-8456
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
232296
LA
390200000X
Student in an Organized Health Care Education/Training Program
73137
LA
Other
Enumeration date
04/11/2023
Last updated
11/15/2023
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