Provider Demographics
NPI:1992846141
Name:BOSWELL, CELIA SKINNER (CFNP)
Entity Type:Individual
Prefix:
First Name:CELIA
Middle Name:SKINNER
Last Name:BOSWELL
Suffix:
Gender:F
Credentials:CFNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2551 GREENWOOD RD
Mailing Address - Street 2:SUITE 320
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71103-3981
Mailing Address - Country:US
Mailing Address - Phone:318-212-8176
Mailing Address - Fax:318-212-8186
Practice Address - Street 1:2551 GREENWOOD RD
Practice Address - Street 2:SUITE 320
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71103-3981
Practice Address - Country:US
Practice Address - Phone:318-212-8176
Practice Address - Fax:318-212-8186
Is Sole Proprietor?:No
Enumeration Date:2007-02-09
Last Update Date:2016-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP05007363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily