Individual
DONNA HOSTNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3341 YOUREE DR # 205, SHREVEPORT, LA 71105-2149
(318) 219-4167
Mailing address
3341 YOUREE DR # 205, SHREVEPORT, LA 71105-2149
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
101645
LA
Other
Enumeration date
03/16/2020
Last updated
03/16/2020
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