Individual
HEATHER KRAMER MECOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1455 E BERT KOUN LOOP, SHREVEPORT, LA 71105-5634
(318) 798-4458
(318) 798-4474
Mailing address
1512 W KIRBY PL, SHREVEPORT, LA 71103-3822
(318) 626-0177
(318) 629-4833
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP09449
LA
363LA2100X
Acute Care Nurse Practitioner
Primary
AP09449
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2450808
—
LA
Enumeration date
07/14/2017
Last updated
03/10/2023
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