Individual
PAMELA BARRON CRAIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1811 E BERT KOUN LOOP STE 210, SHREVEPORT, LA 71105-5740
(318) 212-3858
(318) 212-3958
Mailing address
1811 E BERT KOUN LOOP STE 210, SHREVEPORT, LA 71105-5740
(318) 212-3858
(318) 212-3958
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN071415
LA
363LF0000X
Family Nurse Practitioner
Primary
AP.05596
LA
363LF0000X
Family Nurse Practitioner
AP05596
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2100408
—
LA
Enumeration date
11/12/2009
Last updated
06/23/2021
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