Individual
PAMELA SMITH SHRIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
8415 GOODWOOD BLVD, SUITE 100, BATON ROUGE, LA 70806-7851
(225) 765-5633
(225) 765-5634
Mailing address
8415 GOODWOOD BLVD, SUITE 100, BATON ROUGE, LA 70806-7851
(225) 765-5633
(225) 765-5634
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN070543 AP01907
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1995380
—
LA
Enumeration date
07/28/2005
Last updated
10/25/2013
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