Individual
BETH S. EUBANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
3311 PRESCOTT RD, SUITE 112, ALEXANDRIA, LA 71301-3900
(318) 767-3346
(318) 767-3357
Mailing address
PO BOX 846098, DALLAS, TX 75284-6098
(903) 606-6400
(903) 606-1522
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP05310
LA
363LA2200X
Adult Health Nurse Practitioner
Primary
088939
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1021041
—
LA
Enumeration date
10/18/2007
Last updated
12/18/2023
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