Individual
ELIZABETH MANGUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1541 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 626-0000
(318) 629-4833
Mailing address
1512 W KIRBY PL, SHREVEPORT, LA 71103-3822
(318) 626-0177
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN82332
LA
363LA2100X
Acute Care Nurse Practitioner
AP08881
LA
363LG0600X
Gerontology Nurse Practitioner
Primary
AP0881
LA
Other
Enumeration date
04/25/2016
Last updated
02/27/2023
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