Individual
STEFFANY WINDHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2913 BETIN AVE, MONROE, LA 71201-7257
(318) 388-1250
Mailing address
2913 BETIN AVE, MONROE, LA 71201-7257
(318) 388-1250
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
RN133704
LA
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
AP08951
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1044400713
NATIONAL CERTIFICATION CORPORATION
IL
Enumeration date
06/26/2016
Last updated
09/08/2016
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