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NPI Code Detail

MEDICARE: MONICA ANN STELLY NP

MEDICARE:   MONICA ANN STELLY  NP
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 Practitioner226452LA

General Provider Information

NPI Number : 1972221737
Entity Type Code : Individual
Provider Name (Legal Business Name) : MONICA ANN STELLY NP
Provider Business Mailing Address
First Line : 376 MAIN ST
Second Line :
City : CANKTON
State : LA
Zip : 70584-5920
Country : US
Telephone Number : 337-668-4141
Fax Number : 337-668-4386
Provider Business Practice Location Address
First Line : 376 MAIN ST
Second Line :
City : CANKTON
State : LA
Zip : 70584-5920
Country : US
Telephone Number : 337-668-4141
Fax Number : 337-668-4386
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/18/2022
Last Update Date : 08/18/2022

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Directions to “ MONICA ANN STELLY NP” Practice Location

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