Individual
SHELLY MARIE SPAULDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
536 VETERANS MEMORIAL BLVD, WASHINGTON, LA 70589
(337) 826-7702
Mailing address
111 WOODHAVEN RD, YOUNGSVILLE, LA 70592-6283
(308) 390-6186
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
227434
LA
363LF0000X
Family Nurse Practitioner
Primary
227434
LA
Other
Enumeration date
09/29/2022
Last updated
09/29/2022
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