Individual
AIMEE SMILEY SANDIFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
8001 YOUREE DR, SUITE 600, SHREVEPORT, LA 71115-2302
(318) 212-3890
(318) 212-3888
Mailing address
1541 KINGS HWY, SHREVEPORT, LA 71103-4228
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
RN089000 AP04103
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1139947
—
LA
Enumeration date
05/16/2006
Last updated
02/25/2025
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