Individual
MRS. AMANDA EASLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
8742 GOODWOOD BLVD, BATON ROUGE, LA 70806-7915
(225) 231-7070
Mailing address
16649 SHETLAND AVE, GREENWELL SPRINGS, LA 70739-5931
(225) 772-0180
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN116548
LA
363LF0000X
Family Nurse Practitioner
Primary
AP08686
LA
Other
Enumeration date
08/27/2014
Last updated
03/03/2016
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