Cheryl Wiley Adair, FNP
Family Medicine in Shreveport, LA. Individual provider (NPI-1).
NPI number1437408846
StatusActive
Last updated in NPPESOct 22, 2012
Details
- NPI
- 1437408846
- Entity type
- Individual (NPI-1)
- Name
- Cheryl Wiley Adair
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 30, 2012
- Last updated
- Oct 22, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | AP06923 | LA | Yes |
Practice location
1860 Fairfield AveShreveport, LA 71101-4431
Phone 318-675-1313 · Fax 318-675-1319
Mailing address
1860 Fairfield AveShreveport, LA 71101-4431
Phone 318-675-1313 · Fax 318-675-1319
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