Individual
MS. MARY LYNN WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2495 SHREVEPORT HWY, PINEVILLE, LA 71360
(318) 473-0010
(318) 483-5117
Mailing address
2495 SHREVEPORT HWY # 71, PINEVILLE, LA 71360-4044
(318) 623-9062
(318) 483-5117
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APO4173
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APO4173
ACUTE CARE NURSE PRACTITIONER
LA
Enumeration date
10/18/2006
Last updated
10/23/2014
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