Search › Louisiana › 171M00000X
Ellisa Gladney
NPI 1356893887 · on the registry since 2016
Practice
- Address
- 1609 Hill St
Bossier City, LA 71111 - Phone
- (318) 505-1114
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Also registered as
- 101YM0800X
- Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-09-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana