Crystal Barmer, AGPCNP
Nurse Practitioner in Shreveport, LA. Individual provider (NPI-1).
NPI number1982246443
StatusActive
Last updated in NPPESMay 18, 2022
Details
- NPI
- 1982246443
- Entity type
- Individual (NPI-1)
- Name
- Crystal Barmer
- Credential
- AGPCNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 16, 2019
- Certification date
- May 18, 2022
- Last updated
- May 18, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 222025 | LA | Yes |
| 163W00000X | Registered Nurse | 110627 | LA |
Practice location
510 E Stoner AveShreveport, LA 71101-4243
Phone 318-990-5248
Mailing address
221 Decatur StBossier City, LA 71111-6259
Phone 318-286-4017
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