Amy Smiley NP And Willis-Knighton Medical Center
Nurse Practitioner, Women's Health in Shreveport, LA. Organization (NPI-2).
NPI number1700827219
StatusActive
Last updated in NPPESNov 8, 2007
Details
- NPI
- 1700827219
- Entity type
- Organization (NPI-2)
- Legal business name
- Amy Smiley NP And Willis-Knighton Medical Center
- Organization subpart
- No
- Enumeration date
- Jun 8, 2006
- Last updated
- Nov 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LW0102X | Nurse Practitioner, Women's Health | – | – | Yes |
Practice location
8001 Youree DrSuite 600
Shreveport, LA 71115-2302
Phone 318-212-3890 · Fax 318-212-3888
Mailing address
8001 Youree DrSuite 600
Shreveport, LA 71115-2302
Phone 318-212-3890 · Fax 318-212-3888
Authorized official
Greg J. Gavin
Network Administrator
3182128780
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