Search › Louisiana › 101YS0200X
Carylon Nickelberry
NPI 1326597964 · on the registry since 2016 · sole proprietor
Practice
- Address
- 4311 Gabriel Cir
Shreveport, LA 71109 - Phone
- (318) 834-3086
Registry record
- Primary taxonomy
- 101YS0200X
101YS0200X
- Also registered as
- 235Z00000X
- Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-09-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana