Doctor Name: | SHWANNA RENEE STERLING |
NPI Number: | 1811266273 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | PA 200324 |
Business Practice Address: | 3515 Highway 1 South Port Allen, LA - 70767 |
Business Phone Number: | 2257495750 |
Business Fax Number: | 2257493138 |
Mailing Address: | 5220 Knight Dr, ZACHARY |
State: | LA |
Postal Code: | 707912562 |
Phone Number: | 2253014692 |
Fax Number: | |
NPI Enumeration Date: | 12/14/2011 |
NPI Last Update Date: | 12/14/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | PA 200324 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |