Moore, Alicia Shandrell

Moore, Alicia Shandrell is an individual health care provider with primary practice located at 2205 E 70Th St , Shreveport LA 71105-5321. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Moore, Alicia Shandrell can be contacted via phone (318) 797-1585.

Contact Information

Primary practice address
2205 E 70Th St Shreveport LA 71105-5321
Phone: (318) 797-1585
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 221828 Louisiana

Profile Details

NPI number 1598427999
LBN Legal business name Moore, Alicia Shandrell
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2021
Last updated Oct 13th, 2021 - about 3 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.

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