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Individual

CHENEY SHELTON STAIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
FNP

Contact information

Practice address
18303 PERKINS RD E, BATON ROUGE, LA 70810-3937
(225) 236-5980
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
224208
LA
363LF0000X
Family Nurse Practitioner
Primary
224208
LA

Other

Enumeration date
02/06/2022
Last updated
03/24/2022
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