Provider Demographics
NPI:1447413828
Name:SMITH, MONICA VALENTI (WHNP)
Entity Type:Individual
Prefix:MRS
First Name:MONICA
Middle Name:VALENTI
Last Name:SMITH
Suffix:
Gender:F
Credentials:WHNP
Other - Prefix:
Other - First Name:MONICA
Other - Middle Name:RENEE
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:WHNP-BC
Mailing Address - Street 1:1900 MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:FRANKLINTON
Mailing Address - State:LA
Mailing Address - Zip Code:70438-3688
Mailing Address - Country:US
Mailing Address - Phone:985-839-3555
Mailing Address - Fax:985-839-6320
Practice Address - Street 1:806-B RIVERSIDE DRIVE
Practice Address - Street 2:
Practice Address - City:FRANKLINTON
Practice Address - State:LA
Practice Address - Zip Code:70438-3688
Practice Address - Country:US
Practice Address - Phone:985-839-3555
Practice Address - Fax:985-839-6320
Is Sole Proprietor?:No
Enumeration Date:2008-07-07
Last Update Date:2017-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP05203363LW0102X
LARN101535207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
LARN101535OtherNURSE PRACTITIONER
LA1317403Medicaid
LAAPRN05203OtherNURSE PRACTITIONER
281225YR4BMedicare UPIN