IndividualActive
Amanda Hathorn, ACNPC-AG
NPI 1578283651 · Acute Care Nurse Practitioner · Bossier City, LA
Provider details
- NPI number
- 1578283651
- Entity type
- Individual
- Primary specialty
- Acute Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- ACNPC-AG
- Sex
- Female
- Sole proprietor
- No
- License
- 226879 (LA)
Practice location
2400 Hospital Dr Ste 250
Bossier City, LA 71111-2390
Phone: (318) 746-4460
Fax: (318) 746-3389
Mailing address
2400 Hospital Dr Ste 250
Bossier City, LA 71111-2390
Registry dates
- Enumerated
- 2022-08-30
- Last updated
- 2025-01-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.