Organization · Type 2 NPI

Wellness Center for Skin Therapy LLC

Family Nurse Practitioner · Shreveport, LA

NPI number 1053705574 Active

Practice location

2751 Albert L Bicknell Dr, Suite 1A
Shreveport, LA 71103-3920

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XAP03173 (LA)

Family Nurse Practitioner: Definition to come...

30 other providers at this address

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About NPI 1053705574

Wellness Center for Skin Therapy LLC's National Provider Identifier is 1053705574, issued on Mar 23, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Shreveport, LA. The record was last updated on Mar 23, 2015.