| Elena Urbiztondo, | |
|
2924 Knight St Ste 402, Shreveport, LA 71105-2413 | |
| (318) 408-2880 | |
| Not Available |
| Full Name | Elena Urbiztondo |
|---|---|
| Gender | Female |
| Speciality | Registered Nurse - Psychiatric/mental Health, Adult |
| Location | 2924 Knight St Ste 402, Shreveport, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881226561 | NPI | - | NPPES |
| Entity Name | Brentwood Acquisition-shreveport Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164725701 PECOS PAC ID: 1951379312 Enrollment ID: O20040923000015 |
| Mailing Address | Practice Location Address |
|---|---|
| Elena Urbiztondo, 9832 Amblewood Ln, Shreveport, LA 71118-5054 Ph: (318) 671-3088 | Elena Urbiztondo, 2924 Knight St Ste 402, Shreveport, LA 71105-2413 Ph: (318) 408-2880 |
Melissa Mericle, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 3434 Johnette St, Shreveport, LA 71105 Phone: 318-868-7204 | |
Nancy Duggan, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 510 E Stoner Ave, Shreveport, LA 71101 Phone: 318-221-8411 | |
Mrs. Mary Ann Evans, RN4 Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1035 Creswell Ave, Shreveport, LA 71101 Phone: 318-676-5286 Fax: 318-676-5221 | |
Richard David Richardson, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 3020 Knight St, Shreveport, LA 71105 Phone: 318-862-9899 | |
Stephanie Schimschock Hebron, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 537 Cumberland Dr, Shreveport, LA 71106 Phone: 318-560-0409 | |
Beverly Kruise, REGISTERED NURSE Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 510 E Stoner Ave, Shreveport, LA 71101 Phone: 318-221-8411 | |
Terry Meek, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 510 E Stoner Ave, Shreveport, LA 71101 Phone: 318-221-8411 |