Juanita Felton Bridges in Shreveport - Nutrition, Metabolic

Juanita Felton Bridges - NPI 1841269743

Juanita Felton Bridges is a Nutrition, Metabolic in Shreveport, Louisiana. Juanita Felton Bridges practices all healthcare services and medical treatments related to Nutrition, Metabolic. The NPI Number for Juanita Felton Bridges is 1841269743. The last update date is 2013-02-26.

Juanita Felton Bridges's current location address is 510 East Stoner Avenue, #120, Shreveport, Louisiana. You can contact this provider via phone number 3189905189 and fax number 3189905724. The mailing address for Juanita Felton Bridges is 510 East Stoner Avenue, #120, Shreveport, Louisiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Juanita Felton Bridges
Address 510 East Stoner Avenue, #120, Shreveport, Louisiana
Phone Number 3189905189
Fax Number 3189905724
Sole Proprietor Y
Credentials M.S.,L.D.N

NPI Number Detail

NPI Number 1841269743
Provider Enumeration Date 2006-03-15
Last Updated Date 2013-02-26

Provider Mailing Address Detail

Address 510 East Stoner Avenue, #120
City Shreveport
State Louisiana (LA)
Post Code 71101
Phone Number 3189905189
Fax Number 3189905724

Provider's Primary Taxonomy Detail

Speciality Nutrition, Metabolic
Taxonomy 133Vn1006X
Definition:
A dietitian who specializes in metabolic and nutritional disorders.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
16541 LA CDR NUMBER
1095 LA LICENSE NUMBER

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FAQs about Juanita Felton Bridges

What is the unique identification code assigned to Juanita Felton Bridges by the Centers for Medicare & Medicaid Services?

The Juanita Felton Bridges has been issued the NPI (National Provider Identifier) 1841269743. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Juanita Felton Bridges is physically located?

The Juanita Felton Bridges is physically situated at the following address: 510 East Stoner Avenue, #120, Shreveport, LA, 71101.

What is Juanita Felton Bridges's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Juanita Felton Bridges is Nutrition, Metabolic, and the corresponding taxonomy classification code for this specialized field is 133Vn1006X.

On what date did the Centers for Medicare & Medicaid Services assign the 1841269743 to Juanita Felton Bridges?

The Centers for Medicare & Medicaid Services assigned the 1841269743 to Juanita Felton Bridges on 2006-03-15.

As of what date were the Juanita Felton Bridges's details last updated?

The information pertaining to the Juanita Felton Bridges, including its address, specialty, and other details, was most recently updated on 2013-02-26.

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