Individual
RYAN CONNELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
2600 GREENWOOD RD, SHREVEPORT, LA 71103-3908
(318) 212-4000
Mailing address
2600 GREENWOOD RD, SHREVEPORT, LA 71103-3908
(318) 212-4000
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
226266
LA
Other
Enumeration date
06/21/2022
Last updated
10/29/2022
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