SHANNON BOOTHE BREWER

MONROE, LA
NPI1174831861
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: LA  ap06290)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: MS  R853766)
Enumeration Date2010-09-16
Last Update Date2012-09-26
Business Address
Mrs. SHANNON BOOTHE BREWER NP-C
4864 JACKSON ST
MONROE, LA 71202-6400
Phone number: 318-330-7658
Mailing Address
Mrs. SHANNON BOOTHE BREWER NP-C
4864 JACKSON ST
MONROE, LA 71202-6400
Phone number: 318-330-7658