Provider Demographics
NPI:1982198735
Name:SHOWERS, NATHANIEL
Entity Type:Individual
Prefix:MR
First Name:NATHANIEL
Middle Name:
Last Name:SHOWERS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1105 SMITH SQ
Mailing Address - Street 2:
Mailing Address - City:HAMMOND
Mailing Address - State:LA
Mailing Address - Zip Code:70403-3974
Mailing Address - Country:US
Mailing Address - Phone:985-320-8321
Mailing Address - Fax:
Practice Address - Street 1:12561 WARDLINE RD
Practice Address - Street 2:
Practice Address - City:HAMMOND
Practice Address - State:LA
Practice Address - Zip Code:70401-6212
Practice Address - Country:US
Practice Address - Phone:985-320-8321
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-15
Last Update Date:2018-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator