Anna Michele Ezernack, - Registered Nurse in Shreveport, LA

Anna Michele Ezernack, is a Registered Nurse - Pediatrics based in Shreveport, Louisiana. Anna Michele Ezernack is licensed to practice in Louisiana (license number 203345) and her current practice location is 1800 Line Ave, Shreveport, Louisiana. She can be reached at her office (for appointments etc.) via phone at (318) 677-3100.

NPI number for Anna Michele Ezernack is 1033973391 and her current mailing address is 252 Pennsylvania Ave, Shreveport, Louisiana. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1033973391.

Contact Information

Anna Michele Ezernack,
1800 Line Ave,
Shreveport, LA 71101-4612
(318) 677-3100
Not Available

Map and Direction




Provider's Profile

Full NameAnna Michele Ezernack
GenderFemale
SpecialityRegistered Nurse - Pediatrics
Location1800 Line Ave, Shreveport, Louisiana
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1033973391
  • Provider Enumeration Date: 02/07/2024
  • Last Update Date: 02/07/2024

Medical Identifiers

Medical identifiers for Anna Michele Ezernack such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033973391NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WP0200XRegistered Nurse - Pediatrics 203345 (Louisiana)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Anna Michele Ezernack is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Anna Michele Ezernack,
252 Pennsylvania Ave,
Shreveport, LA 71105-3320

Ph: (318) 553-6506
Anna Michele Ezernack,
1800 Line Ave,
Shreveport, LA 71101-4612

Ph: (318) 677-3100

Reviews and Comments


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