Individual
CARLA CUNNINGHAM TYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
460 ASHLEY RIDGE BLVD STE 500, SHREVEPORT, LA 71106-7238
(318) 820-8078
Mailing address
460 ASHLEY RIDGE BLVD STE 500, SHREVEPORT, LA 71106-7238
(318) 820-8078
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
RN037324
LA
Other
Enumeration date
08/20/2020
Last updated
08/20/2020
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