Individual
MAGAN SCARBOROUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
920 OLIVER RD, SUITE A, MONROE, LA 71201-5702
(318) 329-9202
(318) 329-1258
Mailing address
130 DESIARD ST, SUITE 355, MONROE, LA 71201-7319
(318) 807-7875
(318) 812-6603
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP08402
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2396838
—
LA
Enumeration date
07/06/2015
Last updated
01/15/2016
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