Individual provider · Type 1 NPI

Brinton J. Fegley, NP

Acute Care Nurse Practitioner · Shreveport, LA

NPI number 1790759462 Active

Practice location

2727 Hearne Ave
Shreveport, LA 71103-3931

Fax (318) 631-0300

Mailing address

PO Box 37388
Shreveport, LA 71133-7388

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100XAP04104 (LA)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1790759462

Brinton J. Fegley, NP's National Provider Identifier is 1790759462, issued on Feb 17, 2006. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Shreveport, LA. The record was last updated on Jun 24, 2021.