Individual
CRYSTAL LYNNE GOODRICH MCDANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, FNP
Contact information
Practice address
7813 YOUREE DR, SHREVEPORT, LA 71105-5505
(318) 212-2929
Mailing address
7813 YOUREE DR, SHREVEPORT, LA 71105-5505
(318) 212-2929
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
224320
LA
Other
Enumeration date
03/15/2022
Last updated
09/13/2024
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