Individual
SHANE M MCVAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
4707 QUITMAN HIGHWAY, HODGE, LA 71247
(318) 395-1168
(318) 395-1170
Mailing address
1200 S FARMERVILLE ST, RUSTON, LA 71270-5941
(318) 255-3690
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
TAP003048
LA
Other
Enumeration date
05/22/2013
Last updated
11/22/2013
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