Bethany Longino Shirley APRN, NP-C

NPI 1255617296 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1255617296
Gender Female
Enumeration Date 10/21/2011
Last Updated 10/21/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
106 MIMOSA ST
AMITE LA, 70422-2136, US
Phone (985) 646-1579
Fax
Business Location
27395 FRED THOMAS RD
FRANKLINTON LA, 70438-5261, US
Phone (985) 839-9512
Fax
Toxanomy
Taxonomy Code 363LF0000X
License State Louisiana
License Number RN112542-AP06651
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According to our database, Bethany Longino Shirley APRN, NP-C NPI is 1255617296, taxonomy code is 363LF0000X and license number is RN112542-AP06651, license state is located at Louisiana. Bethany Longino Shirley APRN, NP-C physically located at 106 Mimosa St, Amite LA, 70422-2136. NPI Number Bethany Longino Shirley APRN, NP-C has the Individual type.

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1255617296 NPI number is provided on an as is basis without warranty of any kind. 1255617296 is maintained by the National Plan & Provider Enumeration System. The contents of Bethany Longino Shirley APRN, NP-C are for informational purposes only.