Mrs Wandria Coleman Dallas, APRN is a
Clinical Nurse Specialist - Gerontology based in Shreveport, Louisiana. Mrs Wandria Coleman Dallas is licensed to practice in Louisiana (license number AP10195) and her current practice location is
1541 Kings Hwy, Shreveport, Louisiana. She can be reached at her office (for appointments etc.) via phone at
(318) 626-1855.
NPI number for Mrs Wandria Coleman Dallas is 1902370273 and her current mailing address is 3902 Elmer Ln, Shreveport, Louisiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1902370273.
Provider's Profile
| Full Name | Mrs Wandria Coleman Dallas |
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| Gender | Female |
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| Speciality | Clinical Nurse Specialist - Gerontology |
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| Location | 1541 Kings Hwy, Shreveport, Louisiana |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1902370273
- Provider Enumeration Date: 01/19/2019
- Last Update Date: 01/19/2019
Medical Identifiers
Medical identifiers for Mrs Wandria Coleman Dallas such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1902370273 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 364SG0600X | Clinical Nurse Specialist - Gerontology | AP10195 (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. Mrs Wandria Coleman Dallas 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 Address | Practice Location Address |
Mrs Wandria Coleman Dallas, APRN 3902 Elmer Ln, Shreveport, LA 71109-1934 Ph: (318) 560-2295 | Mrs Wandria Coleman Dallas, APRN 1541 Kings Hwy, Shreveport, LA 71103-4228 Ph: (318) 626-1855 |
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