Organization
IN BETWEEN PCP AND MED-SPA INC
Active
Other names
NA, same
Organization subpart
No
Provider details
NPI number
Authorized official
HUGHES, AREATHA HUGHES, AREATHA FNP-C (OWNER)
(318) 294-8519
Entity
Organization
Contact information
Practice address
1732 LAKEFRONT DR, SHREVEPORT, LA 71119-3925
(318) 294-8519
(318) 294-8519
Mailing address
1732 LAKEFRONT DR, SHREVEPORT, LA 71119-3925
(318) 294-8519
(318) 294-8519
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/25/2025
Last updated
04/25/2025
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