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Phyllis Caudill
Primary Care Nurse Practitioner in Shreveport, Louisiana
NPI 1568239283

Phyllis Caudill is a Primary Care Nurse Practitioner based in Shreveport, LA and is specialized in Primary Care. Phyllis Caudill practices in Shreveport, LA. The NPI Number for Phyllis Caudill is 1568239283 and holds a License No. 906229 (Louisiana).

The current practice location address for Phyllis Caudill is 1860 Fairfield Ave, Shreveport, LA and can be reached out via phone at 318-642-9450. You can also correspond with Phyllis Caudill through the mailing address at 1860 FAIRFIELD AVE, SHREVEPORT, LA - 71101-4431 (mailing address contact number: 318-642-9450).

Location: 1860 Fairfield Ave, Shreveport, LA, 71101-4431
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Provider Profile Details
NPI Number
1568239283
Provider Name
Phyllis Caudill
Credential
Provider Entity Type
Individual
Gender
Female
Address
1860 Fairfield Ave, Shreveport, LA, 71101-4431
Phone Number
318-642-9450
Fax Number
Provider Enumeration Date
12/04/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1860 Fairfield Ave
City
State
Zip
71101-4431
Phone Number
318-642-9450
Fax Number
person
Provider Business Mailing Address Details
Address
1860 Fairfield Ave
City
State
Zip
71101-4431
Phone Number
318-642-9450
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
906229 (Mississippi)
Definition
Definition to come...
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