Mary S Hire, ACNP-BC
Nurse Practitioner, Acute Care in Shreveport, LA. Individual provider (NPI-1).
NPI number1265629935
StatusActive
Last updated in NPPESAug 12, 2022
Details
- NPI
- 1265629935
- Entity type
- Individual (NPI-1)
- Name
- Mary S Hire
- Credential
- ACNP-BC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 26, 2007
- Certification date
- Aug 12, 2022
- Last updated
- Aug 12, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2100X | Nurse Practitioner, Acute Care | AP05309 | LA | Yes |
Practice location
8001 Youree Dr Ste 540Shreveport, LA 71115-2343
Phone 318-631-9121 · Fax 318-631-9126
Mailing address
3217 Mabel StShreveport, LA 71103-4022
Phone 318-631-9121 · Fax 318-631-9126
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