Individual
AMY SHEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
38276 N 5TH AVE, SLIDELL, LA 70460-4524
(985) 863-5353
Mailing address
209 LEGENDRE DR, SLIDELL, LA 70460-3419
(985) 640-8208
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN117000
LA
Other
Enumeration date
05/09/2022
Last updated
05/09/2022
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