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NPI Code Detail

MEDICARE: SHWANNA RENEE STERLING PA-C

MEDICARE: SHWANNA RENEE STERLING 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
1363AM0700XMedical Physician AssistantPA 200324LA

General Provider Information

NPI Number : 1811266273
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHWANNA RENEE STERLING PA-C
Provider Business Mailing Address
First Line : 5220 KNIGHT DR
Second Line :
City : ZACHARY
State : LA
Zip : 70791-2562
Country : US
Telephone Number : 225-301-4692
Fax Number :
Provider Business Practice Location Address
First Line : 3515 HIGHWAY 1 SOUTH
Second Line :
City : PORT ALLEN
State : LA
Zip : 70767
Country : US
Telephone Number : 225-749-5750
Fax Number : 225-749-3138
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/14/2011
Last Update Date : 12/14/2011

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Directions to “ SHWANNA RENEE STERLING PA-C” Practice Location

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