Individual
AMBER CRYSTAL HARDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
850 OLIVE ST STE A, SHREVEPORT, LA 71104-2162
(318) 239-4860
(805) 295-4715
Mailing address
PO BOX 4506, SHREVEPORT, LA 71134-0506
(318) 239-4860
(805) 295-4715
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
235755
LA
Other
Enumeration date
08/13/2024
Last updated
08/13/2024
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