CAROLYNE ADHIAMBO REDDING NURSE PRACTITIONER NPI 1619476595

NPI Information

NPI: 1619476595
Provider Name: CAROLYNE ADHIAMBO REDDING, NURSE PRACTITIONER
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

Address:
7505 PINES RD STE 1235
SHREVEPORT, LA
ZIP 71129
Phone: (225) 932-9150
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Carolyne Adhiambo Redding, NURSE PRACTITIONER is a gerontology nurse practitioner in Shreveport, LA. Carolyne Adhiambo Redding, NURSE PRACTITIONER NPI is 1619476595. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

7505 PINES RD STE 1235
SHREVEPORT, LA
ZIP 71129-900
Phone: (225) 932-9150

The enumeration date for this NPI number is 2/6/2018 and was last updated on 2/6/2018.

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
1	363LG0600X	Nurse Practitioner	Gerontology	AP09548	LOUISIANA	Yes

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: 4/28/2024

NPI Synchronization or Removal

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