Healthcare Provider Details

I. General information

NPI: 1447831094
Provider Name (Legal Business Name): HANNAH KAY WASHER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/15/2021
Last Update Date: 08/13/2024
Certification Date: 08/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

920 OLIVER RD
MONROE LA
71201-5702
US

IV. Provider business mailing address

1900 N 7TH ST
WEST MONROE LA
71291-4416
US

V. Phone/Fax

Practice location:
  • Phone: 318-807-3700
  • Fax: 318-807-0014
Mailing address:
  • Phone: 318-651-7000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number340744
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: