Individual
MRS. AMANDA R PHELPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3217 MABEL ST, SHREVEPORT, LA 71103-4022
(318) 631-9121
(318) 631-9126
Mailing address
3217 MABEL ST, SHREVEPORT, LA 71103-4022
(318) 631-9121
(318) 631-9126
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
324297
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2539141
—
LA
01
—
324297
PHYSICIAN ASSISTANT LICENSURE
LA
Enumeration date
09/10/2020
Last updated
09/15/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us