Amanda Carfagno, NP
Nurse Practitioner, Pediatrics in Shreveport, LA. Individual provider (NPI-1).
NPI number1104311778
StatusActive
Last updated in NPPESOct 4, 2018
Details
- NPI
- 1104311778
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Amanda Carfagno
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 26, 2018
- Last updated
- Oct 4, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0200X | Nurse Practitioner, Pediatrics | AP09973 | LA | Yes |
| 363LP0200X | Nurse Practitioner, Pediatrics | 9331214 | FL |
Practice location
3100 Samford AveShreveport, LA 71103-4239
Phone 318-226-3306 · Fax 318-226-3319
Mailing address
Po Box 8500, Lockbox 7642Philadelphia, PA 19178-7642
Phone 813-821-8478 · Fax 813-281-8113
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