Anthony-Mcallister, Misty Marlene

Anthony-Mcallister, Misty Marlene is an individual health care provider with primary practice located at 510 E Stoner Ave , Shreveport LA 71101-4243. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Anthony-Mcallister, Misty Marlene can be contacted via phone (318) 221-8411.

Contact Information

Primary practice address
510 E Stoner Ave Shreveport LA 71101-4243
Phone: (318) 221-8411
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 300091 Louisiana

Profile Details

NPI number 1740646355
LBN Legal business name Anthony-Mcallister, Misty Marlene
Credentials PA-C, MPAS
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2016
Last updated Apr 22nd, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1740646355 NPPES
Other 13653665 CAQH
Other 2645976 CAQH
Other 7771259 CAQH
Other QZZ000000106926 CAQH
Other 6261862 CAQH
Other 0246933 CAQH
Other 1740646355 CAQH
Other 2869917 CAQH
Other 60326536 CAQH
Other 1740646355 CAQH
MEDICAID 2424076 CAQH
Other 146475 CAQH

Popular Providers