person
Mrs. Amanda R Phelps, PA-C
Medical Physician Assistant in Shreveport, Louisiana
NPI 1629683230

Amanda R Phelps is a Medical Physician Assistant based in Shreveport, LA and is specialized in Medical. Amanda R Phelps practices in Shreveport, LA and has the professional credentials of PA-C. The NPI Number for Amanda R Phelps is 1629683230 and holds a License No. 324297 (Louisiana).

The current practice location address for Amanda R Phelps is 3217 Mabel St, Shreveport, LA and can be reached out via phone at 318-631-9121 and via fax at 318-631-9126.

Location: 3217 Mabel St, Shreveport, LA, 71103-4022
person
Provider Profile Details
NPI Number
1629683230
Provider Name
Amanda R Phelps
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
3217 Mabel St, Shreveport, LA, 71103-4022
Phone Number
318-631-9121
Fax Number
318-631-9126
Provider Enumeration Date
09/10/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2539141 05 LA
324297 01 LA PHYSICIAN ASSISTANT LICENSURE
institution
Provider Business Practice Location Address Details
Address
3217 Mabel St
City
State
Zip
71103-4022
Phone Number
318-631-9121
Fax Number
318-631-9126
person
Provider Business Mailing Address Details
Address
3217 Mabel St
City
State
Zip
71103-4022
Phone Number
318-631-9121
Fax Number
318-631-9126
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
324297 (Louisiana)
Definition
Definition to come...
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