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Individual

MRS. AMANDA LYN HAYES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
WHNP

Contact information

Practice address
3825 GILBERT DR STE 143, SHREVEPORT, LA 71104-5000
(318) 200-0020
Mailing address
3825 GILBERT DR STE 143, SHREVEPORT, LA 71104-5000
(318) 200-0020

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
95292536
CA
363LW0102X
Women's Health Nurse Practitioner
Primary
AP08434
LA

Other

Enumeration date
09/21/2015
Last updated
02/03/2025
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