Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GINA YI INTHAVONG, NURSE PRACTITIONER
ActiveGINA YI INTHAVONG, NURSE PRACTITIONER is a Nurse Practitioner healthcare provider located in SHREVEPORT, Louisiana. NPI 1912579301 is currently active in the NPPES registry. Verify at CMS.
Nurse Practitioner · SHREVEPORT, LA
Registration Details
- NPI Number
- 1912579301
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 14, 2021 (5.0464296333887 yrs)
- Last Updated
- Jul 14, 2021
- License
-
221149 (LA)
Practice Information
- Address
-
1800 BUCKNER ST STE C120SHREVEPORT, LA, 711014453Browse LA providers · Browse ZIP 71101
- Phone
- 3182278899
- Fax
- 3184253793
- Primary Specialty
-
Nurse Practitioner
363L00000X
Other Nurse Practitioner Providers in SHREVEPORT, LA
| Name | Credential | NPI |
|---|---|---|
| DEANNA C KAMPHUIS | NP | 1437153319 |
| MRS. SHARON D ADLEY | NP | 1770581274 |
| JAMES E HARPER | NP | 1003808569 |
| MARSHA LOUISE MURRAY | CFNP | 1437142247 |
| PATRICIA T KENNEDY | FNP | 1972599116 |
| DONALD B SMITH | NP | 1407842644 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.