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MENOPAUSE & HORMONE SPECIALTY CENTER LLC NPI 1316230394


NPI Information

NPI: 1316230394
Provider Name: MENOPAUSE & HORMONE SPECIALTY CENTER, LLC
Classification: Nurse Practitioner - 363LW0102X
Entity Type: Organization

Specialization: Women's Health

CLIA Number: 19D2027275

Address:
7591 FERN AVE
SUITE #1501
SHREVEPORT, LA
ZIP 71105
Phone: (318) 524-8032
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MENOPAUSE & HORMONE SPECIALTY CENTER, LLC is a women's health nurse practitioner in Shreveport, LA. MENOPAUSE & HORMONE SPECIALTY CENTER, LLC NPI is 1316230394. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7591 FERN AVE
SUITE #1501
SHREVEPORT, LA
ZIP 71105-750
Phone: (318) 524-8032
Fax: (318) 524-8033

The provider's authorized official is Tammi K Herkey .
The authorized official title is Owner and has the following contact phone number (318) 288-1327.

The CLIA number assigned to this NPI record is 19D2027275 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/24/2011 and was last updated on 1/3/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LW0102XNurse PractitionerWomen's HealthAP03544LOUISIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11567183MEDICAIDLOUISIANA
25DU26MEDICARE PINLOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024
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