Individual
AMANDA EILEEN HATHORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNPC-AG
Contact information
Practice address
2400 HOSPITAL DR STE 250, BOSSIER CITY, LA 71111-2390
(318) 746-4460
(318) 746-3389
Mailing address
2400 HOSPITAL DR STE 250, BOSSIER CITY, LA 71111-2390
(318) 746-4460
(318) 746-3389
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
226879
LA
Other
Enumeration date
08/30/2022
Last updated
01/07/2025
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