Individual
AMY GARRETT HALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN,FNP
Contact information
Practice address
300 SCARBOROUGH ST, LAKE PROVIDENCE, LA 71254-3018
(318) 559-2814
Mailing address
300 SCARBOROUGH ST, LAKE PROVIDENCE, LA 71254-3018
(318) 559-2814
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP05559
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1314315
—
LA
Enumeration date
07/28/2008
Last updated
10/16/2019
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