MICHELLE RUTH-FRALEIGH PHELAN

SHREVEPORT, LA
NPI1578575692
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner Acute Care
(Licence: LA  AP04094)
Enumeration Date2006-08-13
Last Update Date2007-07-08
Business Address
MS. MICHELLE RUTH-FRALEIGH PHELAN ACNP-BC
510 E STONER AVE
SHREVEPORT, LA 71101-4243
Phone number: 318-221-8411
Mailing Address
MS. MICHELLE RUTH-FRALEIGH PHELAN ACNP-BC
4286 HIGHWAY 84
MANSFIELD, LA 71052-4528
Phone number: 318-221-8411