Susan M Dungan NP

NPI 1780751479 - Nurse Practitioner - 363LA2100X

NPI Details
NPI 1780751479
Gender Female
Enumeration Date 11/29/2006
Last Updated 06/17/2009
Entity Type Individual
Active Over 10 years ago
Practice Location
1811 E BERT KOUNS
SUITE 100
SHREVEPORT LA, 71105, US
Phone (318) 222-3695
Fax (318) 424-0717
Business Location
1844 GLEN COVE DR
BENTON LA, 71006-8414, US
Phone (318) 965-4341
Fax
Toxanomy
Taxonomy Code 363LA2100X
License State Louisiana
License Number RN089268 AP04806
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According to our database, Susan M Dungan NP NPI is 1780751479, taxonomy code is 363LA2100X and license number is RN089268 AP04806, license state is located at Louisiana. Susan M Dungan NP physically located at 1811 E Bert Kouns, Shreveport LA, 71105. NPI Number Susan M Dungan NP has the Individual type.

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1780751479 NPI number is provided on an as is basis without warranty of any kind. 1780751479 is maintained by the National Plan & Provider Enumeration System. The contents of Susan M Dungan NP are for informational purposes only.