Individual
AMY MYERS BRAINIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
2727 HEARNE AVE, SUITE 300, SHREVEPORT, LA 71103-3917
(318) 798-9400
(318) 798-3894
Mailing address
PO BOX 51008, SHREVEPORT, LA 71135-1008
(318) 795-4605
(318) 798-3894
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP03614 RN078304
LA
Other
Enumeration date
05/23/2012
Last updated
02/17/2014
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