Individual provider · NPI-1

Angel Allyson Adams Burrell

Case Manager/Care Coordinator · Shreveport, LA

NPI number1114586120
StatusActive
Last updated in NPPESJun 7, 2021

Details

NPI
1114586120
Entity type
Individual (NPI-1)
Name
Angel Allyson Adams Burrell
Sex
Female
Sole proprietor
No
Enumeration date
Jun 12, 2019
Certification date
Jun 7, 2021
Last updated
Jun 7, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes

Practice location

543 Stoner Ave
Shreveport, LA 71101-4122

Phone 318-673-9901 · Fax 318-575-1008

Mailing address

543 Stoner Ave
Shreveport, LA 71101-4122

Phone 318-673-9901 · Fax 318-575-1008

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Case Manager/Care Coordinator providers in Shreveport, LA