Carolyn Brantly, NP

NURSE PRACTITIONER

2508 Bert Koun Loop

Suite 102

Shreveport, LA 711183175

(318) 212-5777

**NPI:** 1467125492

**Med School:** OTHER

**Experience:** 4 years

**Telehealth:** No

**Medicare Assignment:** Yes

Practice Locations (1)

WK FREDERICK AND BRAUD CLINIC

2508 Bert Koun Loop, Suite 102
Shreveport, LA 711183175

Phone: (318) 212-5777

**Group ID:** 8022199553 | **Group Size:** 4 members

WILLIS KNIGHTON MEDICAL CENTER Type: Hospital
2600 GREENWOOD ROAD
Phone: (318) 212-4000
Medicare CCN: 190111 View Profile

Home health agency Type: Home health agency
Medicare CCN: 197787 View Profile

MIPS performance data is not available or not publicly reported.

Procedure volume data is not available for public display.

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