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NPI Code Detail

MEDICARE: MS. MONICA J ALLEN FNP

MEDICARE: MS. MONICA J ALLEN FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerAP08356LA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1AP08356OTHERLAAPRN
2RN076606OTHERLARN LICENSE

General Provider Information

NPI Number : 1699158899
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MONICA J ALLEN FNP
Provider Business Mailing Address
First Line : PO BOX 406
Second Line :
City : WOODWORTH
State : LA
Zip : 71485-0406
Country : US
Telephone Number : 318-484-9588
Fax Number : 318-484-9590
Provider Business Practice Location Address
First Line : 9372 HIGHWAY 165 S
Second Line :
City : WOODWORTH
State : LA
Zip : 71485-9786
Country : US
Telephone Number : 318-484-9588
Fax Number : 318-484-9590
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2015
Last Update Date : 07/07/2015

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