Tyquanna Burns
Licensed Practical Nurse in Shreveport, LA. Individual provider (NPI-1).
NPI number1538655402
StatusActive
Last updated in NPPESJul 3, 2018
Details
- NPI
- 1538655402
- Entity type
- Individual (NPI-1)
- Name
- Tyquanna Burns
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 3, 2018
- Last updated
- Jul 3, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 319440 | TX | Yes |
Practice location
6899 Patrick Ln Ste B3Shreveport, LA 71129-9476
Phone 318-464-4501
Mailing address
6899 Patrick Ln Ste B3Shreveport, LA 71129-9476
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