Individual provider · Type 1 NPI
Amanda Eileen Hathorn, ACNPC-AG
Acute Care Nurse Practitioner · Bossier City, LA
NPI number
1578283651
Active
Practice location
2400 Hospital Dr Ste 250
Bossier City, LA 71111-2390
Fax (318) 746-3389
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | 226879 (LA) |
Acute Care Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1578283651
Amanda Eileen Hathorn, ACNPC-AG's National Provider Identifier is 1578283651, issued on Aug 30, 2022. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Bossier City, LA. The record was last updated on Jan 7, 2025.