Individual provider · Type 1 NPI

Walter Matheny Ii, APRN FNP-C

Family Nurse Practitioner · Shreveport, LA

NPI number 1053911339 Active

Practice location

1541 Kings Hwy
Shreveport, LA 71103-4228

Call (318) 626-0000 Map

Fax (318) 629-4833

Mailing address

1512 W Kirby Pl
Shreveport, LA 71103-3822

Other practice locations

  • 216 W Union Street Ste A Minden, Minden, LA 71055 · (318) 299-6334

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X215856 (LA)
Family Nurse Practitioner Primary 363LF0000X215856 (LA)

Family Nurse Practitioner: Definition to come...

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About NPI 1053911339

Walter Matheny Ii, APRN FNP-C's National Provider Identifier is 1053911339, issued on Oct 27, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Shreveport, LA. The record was last updated on Feb 28, 2023.