NPI 1053862185

Amber Nicole Williams

Practitioner Specialist Shreveport, LA

Practice location

Address: 1434 Hawn Ave #12, Shreveport, LA 71107-6508
Phone: (318) 675-0224

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X

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Registry record

NPI: 1053862185
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Oct 2016
Record last updated: 24 Oct 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.