NPI 1710686407

Annette Bolden

Practitioner Homemaker Shreveport, LA

Practice location

Address: 1545 Line Ave STE 330a, Shreveport, LA 71101-4600
Phone: (318) 409-9636
Mailing address: 1931 Ashton St, Shreveport, LA 71103-2625

Registered specialties

Homemaker Primary

Nursing Service Related Providers Taxonomy 376J00000X Licence 30042 (LA)

Other Homemaker providers in Louisiana →

Registry record

NPI: 1710686407
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Mar 2023
Record last updated: 1 Mar 2023

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.