Healthcare Provider Details

I. General information

NPI: 1447413828
Provider Name (Legal Business Name): MONICA VALENTI SMITH WHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MONICA RENEE SMITH WHNP-BC

II. Dates (important events)

Enumeration Date: 07/07/2008
Last Update Date: 03/30/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

806-B RIVERSIDE DRIVE
FRANKLINTON LA
70438-3688
US

IV. Provider business mailing address

1900 MAIN STREET
FRANKLINTON LA
70438-3688
US

V. Phone/Fax

Practice location:
  • Phone: 985-839-3555
  • Fax: 985-839-6320
Mailing address:
  • Phone: 985-839-3555
  • Fax: 985-839-6320

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberAP05203
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: