Provider Demographics
NPI:1598871139
Name:BITOWSKI, BILLIE ELIZABETH (RNC FNP)
Entity Type:Individual
Prefix:MRS
First Name:BILLIE
Middle Name:ELIZABETH
Last Name:BITOWSKI
Suffix:
Gender:F
Credentials:RNC FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4651 CAMBRIDGE CIR
Mailing Address - Street 2:
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71107-3535
Mailing Address - Country:US
Mailing Address - Phone:318-629-1588
Mailing Address - Fax:318-629-1589
Practice Address - Street 1:4651 CAMBRIDGE CIR
Practice Address - Street 2:
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71107-3535
Practice Address - Country:US
Practice Address - Phone:318-629-1588
Practice Address - Fax:318-629-1589
Is Sole Proprietor?:No
Enumeration Date:2006-08-23
Last Update Date:2007-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP01980363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
P56927Medicare UPIN
4C202Medicare ID - Type Unspecified