MEDICARE: STEPHEN NAREMORE PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	0110004037	VA
2	363A00000X	Physician Assistant	304717	LA

General Provider Information

NPI Number	:	1215273925
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHEN NAREMORE PA-C

Provider Business Mailing Address
First Line	:	3601 JACKSON ST EXT
Second Line	:
City	:	ALEXANDRIA
State	:	LA
Zip	:	71303-3002
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3601 JACKSON ST EXT
Second Line	:
City	:	ALEXANDRIA
State	:	LA
Zip	:	71303-3002
Country	:	US
Telephone Number	:	318-787-6877
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/27/2012
Last Update Date	:	06/05/2023

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Directions to “ STEPHEN NAREMORE PA-C” Practice Location

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