Provider Demographics
NPI:1114449071
Name:STIGERS, AARON (AGNP)
Entity Type:Individual
Prefix:
First Name:AARON
Middle Name:
Last Name:STIGERS
Suffix:
Gender:M
Credentials:AGNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:318 SHORT LEAF DR
Mailing Address - Street 2:
Mailing Address - City:HAUGHTON
Mailing Address - State:LA
Mailing Address - Zip Code:71037-9505
Mailing Address - Country:US
Mailing Address - Phone:318-426-4011
Mailing Address - Fax:
Practice Address - Street 1:2551 GREENWOOD RD STE 220
Practice Address - Street 2:
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71103-3985
Practice Address - Country:US
Practice Address - Phone:318-635-9855
Practice Address - Fax:318-635-9857
Is Sole Proprietor?:No
Enumeration Date:2017-07-12
Last Update Date:2017-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP09482363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology