PSYCHIATRIC NURSE PRACTITIONER SERVICES, LLC
Nursing at Kiber St, Shreveport, LA

License number
Louisiana RN79944 AP3962
Category
Nursing
Type
Psychiatric/Mental Health
Owner
Name: SUSAN MARIE DERIVAS NP
Title: PSYCHIATIRC NURSE PRACTITIONER
Phone: (318) 560-5883
Address
Address
2208 Kiber St, Shreveport, LA 71104
National Provider ID: 1043601685
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about PSYCHIATRIC NURSE PRACTITIONER SERVICES, LLC at bizstanding.com

PSYCHIATRIC NURSE PRACTITIONER SERVICES, LLC

2208 Kiber St, Shreveport, LA 71104

Registration:
Feb 12, 2015
State ID:
41777491K
Business type:
Limited Liability Company
Member:
Susan Derivas (Member), 2208 Kiber St, Shreveport, LA 71104 (Physical)
Agent:
Ashley Holbrook,110 Diana Dr, Shreveport, LA 71115 (Physical)

Nursing licenses in Louisiana










Other Doctors licenses in Louisiana