Individual
AMANDA BILBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2600 GREENWOOD RD, SHREVEPORT, LA 71103-3908
(318) 212-4000
Mailing address
201 MACEY LANE, BOSSIER CITY, LA 71111
(318) 741-2326
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
66692
LA
Other
Enumeration date
01/05/2006
Last updated
02/19/2013
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