Individual
AMBER HAYNIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
403 MONROVIA ST, SHREVEPORT, LA 71106-1607
(318) 617-9970
Mailing address
403 MONROVIA ST, SHREVEPORT, LA 71106-1607
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
227453
LA
Other
Enumeration date
12/29/2022
Last updated
12/29/2022
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