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Contact Information

MYIA E BOZEMAN, FNP
29437 HWY 63, STE. 14
LIVINGSTON, LA70754
 Phone: 225-283-1356
 Fax: 225-283-1705
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for MYIA E BOZEMAN · (Female)

NPI Number 1184110611
Status Active
Credentials FNP (Family Nurse Practitioner)
Entity Individual
Enumeration date 07/09/2018
Last updated 02/28/2019 - About 7 months ago
Sole proprietor 1 No
Identifiers
  • LA License # AP09999
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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