Organization
MENOPAUSE & HORMONE SPECIALTY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMI K HERKEY WHNP (OWNER)
(318) 288-1327
Entity
Organization
Contact information
Practice address
7591 FERN AVE, SUITE #1501, SHREVEPORT, LA 71105-5750
(318) 524-8032
(318) 524-8033
Mailing address
7591 FERN AVE, SUITE #1501, SHREVEPORT, LA 71105-5750
(318) 524-8032
(318) 524-8033
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
AP03544
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1567183
—
LA
Enumeration date
05/24/2011
Last updated
01/03/2013
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