Stacey Vaughn Durr in Shreveport - Family
Stacey Vaughn Durr - NPI 1770511107
Stacey Vaughn Durr is a Family in Shreveport, Louisiana. Stacey Vaughn Durr practices all healthcare services and medical treatments related to Family. The NPI Number for Stacey Vaughn Durr is 1770511107. The last update date is 2007-07-09.
Stacey Vaughn Durr's current location address is 1800 Buckner St, Shreveport, Louisiana. You can contact this provider via phone number 3182278899 and fax number 3182209794. The mailing address for Stacey Vaughn Durr is 1800 Buckner St, Shreveport, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stacey Vaughn Durr |
|---|---|
| Address | 1800 Buckner St, Shreveport, Louisiana |
| Phone Number | 3182278899 |
| Fax Number | 3182209794 |
| Sole Proprietor | N |
| Credentials | RN, CFNP |
NPI Number Detail
| NPI Number | 1770511107 |
|---|---|
| Provider Enumeration Date | 2006-06-28 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 1800 Buckner St |
|---|---|
| City | Shreveport |
| State | Louisiana (LA) |
| Post Code | 711014440 |
| Phone Number | 3182278899 |
| Fax Number | 3182209794 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | AP04792 R |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1584355 | LA | -- | |
| P00287941 | LA | RAILROAD MEDICARE NUMBER |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Stacey Vaughn Durr by the Centers for Medicare & Medicaid Services?
The Stacey Vaughn Durr has been assigned the NPI (National Provider Identifier) 1770511107 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Stacey Vaughn Durr is physically located?
The Stacey Vaughn Durr is physically situated at the following address: 1800 Buckner St, Shreveport, LA, 711014440.
What is the Stacey Vaughn Durr's specialty and taxonomy code?
The Stacey Vaughn Durr's specialty is Family, and the corresponding taxonomy code is 363Lf0000X.
When was the Stacey Vaughn Durr's 1770511107 issued?
The Stacey Vaughn Durr's 1770511107 was issued on 2006-06-28.
As of what date were the Stacey Vaughn Durr's details last updated?
The information pertaining to the Stacey Vaughn Durr, including its address, specialty, and other details, was most recently updated on 2007-07-09.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY