Individual
AMANDA KAY HUNDLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
3021 W 70TH ST, SHREVEPORT, LA 71108-4603
(318) 507-3140
Mailing address
3021 W 70TH ST, SHREVEPORT, LA 71108-4603
(318) 507-3140
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP08174
LA
363LF0000X
Family Nurse Practitioner
AP129738
TX
363LF0000X
Family Nurse Practitioner
R865820
MS
Other
Enumeration date
04/22/2014
Last updated
02/08/2018
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