Individual
STEPHANIE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2205 E 70TH ST, SHREVEPORT, LA 71105-5321
(318) 797-1585
Mailing address
1104 NORMANDY ST, BARKSDALE AFB, LA 71110-2328
(318) 458-9300
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
218916
LA
Other
Enumeration date
10/17/2021
Last updated
10/17/2021
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