Individual provider · Type 1 NPI
Mary Inman, ACNPC-AG
Gerontology Nurse Practitioner · Shreveport, LA
NPI number
1780237701
Active
Practice location
1449 E Bert Koun Loop Ste 100
Shreveport, LA 71105-5680
Fax (318) 629-0230
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | 207290 (LA) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1780237701
Mary Inman, ACNPC-AG's National Provider Identifier is 1780237701, issued on Jul 18, 2019. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Shreveport, LA. The record was last updated on Jul 18, 2019.