Individual
ANGELLE MARIE SUIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1541 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 626-0000
Mailing address
3944 BALTIMORE AVE, SHREVEPORT, LA 71106-1008
(225) 270-0472
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
240122
LA
Other
Enumeration date
05/05/2025
Last updated
05/05/2025
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