Individual
MR. DAVENYA SANDERS II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
(182) 218-4113
Mailing address
210 DEERWOOD LN, HAUGHTON, LA 71037-9217
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP09297
LA
363LF0000X
Family Nurse Practitioner
AP127300
TX
Other
Enumeration date
03/03/2015
Last updated
01/31/2023
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