Ezernack, Anna Michele

Ezernack, Anna Michele is an individual health care provider with primary practice located at 1800 Line Ave , Shreveport LA 71101-4612. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Ezernack, Anna Michele can be contacted via phone (318) 677-3100.

Contact Information

Primary practice address
1800 Line Ave Shreveport LA 71101-4612
Phone: (318) 677-3100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Pediatrics 163WP0200X 203345 Louisiana
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 203345 Louisiana

Profile Details

NPI number 1033973391
LBN Legal business name Ezernack, Anna Michele
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2024
Last updated Jun 13th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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