Individual provider · Type 1 NPI

Phyllis Caudill

Primary Care Nurse Practitioner · Shreveport, LA

NPI number 1568239283 Active

Practice location

1860 Fairfield Ave
Shreveport, LA 71101-4431

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner Primary 363LP2300X906229 (MS)

Primary Care Nurse Practitioner: Definition to come...

10 other providers at this address

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About NPI 1568239283

Phyllis Caudill's National Provider Identifier is 1568239283, issued on Dec 4, 2023. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Shreveport, LA. The record was last updated on Dec 4, 2023.