Mary Susan Anders, LPN
Licensed Practical Nurse in Shreveport, LA. Individual provider (NPI-1).
NPI number1013697333
StatusActive
Last updated in NPPESJul 21, 2023
Details
- NPI
- 1013697333
- Entity type
- Individual (NPI-1)
- Name
- Ms. Mary Susan Anders
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 21, 2023
- Certification date
- Jul 21, 2023
- Last updated
- Jul 21, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 230250 | LA | Yes |
Other names
- Mary Susan Brinegar (Former Name)
Practice location
8932 Jewella AveShreveport, LA 71118-2117
Phone 318-219-4167
Mailing address
1302 Parkway CirBossier City, LA 71112-3740
Phone 318-393-6572
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