Mary Victoria Stell in Shreveport - Family
Mary Victoria Stell - NPI 1588607170
Mary Victoria Stell is a Family in Shreveport, Louisiana. Mary Victoria Stell practices all healthcare services and medical treatments related to Family. The NPI Number for Mary Victoria Stell is 1588607170. The last update date is 2023-01-11.
Mary Victoria Stell's current location address is 1512 W Kirby Pl, Shreveport, Louisiana. You can contact this provider via phone number 3186260177 and fax number 3186294833. The mailing address for Mary Victoria Stell is 1512 W Kirby Pl, Shreveport, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Victoria Stell |
|---|---|
| Address | 1512 W Kirby Pl, Shreveport, Louisiana |
| Phone Number | 3186260177 |
| Fax Number | 3186294833 |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1588607170 |
|---|---|
| Provider Enumeration Date | 2006-06-13 |
| Last Updated Date | 2023-01-11 |
Provider Mailing Address Detail
| Address | 1512 W Kirby Pl |
|---|---|
| City | Shreveport |
| State | Louisiana (LA) |
| Post Code | 711033822 |
| Phone Number | 3186260177 |
| Fax Number | 3186294833 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | AP04748 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1721051 | LA | -- |
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What is the unique identifier code issued to Mary Victoria Stell by the Centers for Medicare & Medicaid Services?
The Mary Victoria Stell has been assigned the NPI (National Provider Identifier) 1588607170. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Mary Victoria Stell's physical address?
The Mary Victoria Stell is physically located at 1512 W Kirby Pl, in the city of Shreveport, LA, with the postal code 711033822.
What is Mary Victoria Stell's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Mary Victoria Stell's specialized field of practice is Family, and the corresponding taxonomy code that categorizes this area of specialization is 363Lf0000X.
When did the Mary Victoria Stell receive its 1588607170?
The Mary Victoria Stell was issued its 1588607170 on 2006-06-13, which is the date when the organization was assigned this unique identifier.
When was the information regarding Mary Victoria Stell most recently updated?
The details pertaining to the Mary Victoria Stell, including its address, specialty, and other relevant information, were last refreshed on 2023-01-11.
NPI Number: 1982607784
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