IndividualActive
Coreen Wilson
NPI 1114502093 · Transportation Broker · Shreveport, LA
Provider details
- NPI number
- 1114502093
- Entity type
- Individual
- Primary specialty
- Transportation BrokerTransportation Services
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Transportation Services
Practice location
4401 Wildwood Dr
Shreveport, LA 71119-8611
Phone: (318) 210-5187
Approximate (ZIP-level) locationGet directions
Mailing address
4401 Wildwood Dr
Shreveport, LA 71119-8611
Registry dates
- Enumerated
- 2021-03-12
- Last updated
- 2021-03-12
- Certified
- 2021-03-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.