Individual
ELENA URBIZTONDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2924 KNIGHT ST STE 402, SHREVEPORT, LA 71105-2413
(318) 408-2880
Mailing address
9832 AMBLEWOOD LN, SHREVEPORT, LA 71118-5054
(318) 671-3088
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
211603
LA
Other
Enumeration date
02/10/2020
Last updated
10/31/2025
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