Provider Demographics
NPI:1699396473
Name:DUHON, PATRICIA (AANP, FNP-C)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:
Last Name:DUHON
Suffix:
Gender:F
Credentials:AANP, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:814 W MCNEESE ST STE 100
Mailing Address - Street 2:
Mailing Address - City:LAKE CHARLES
Mailing Address - State:LA
Mailing Address - Zip Code:70605-5426
Mailing Address - Country:US
Mailing Address - Phone:337-602-8686
Mailing Address - Fax:337-419-1997
Practice Address - Street 1:814 W MCNEESE ST STE 100
Practice Address - Street 2:
Practice Address - City:LAKE CHARLES
Practice Address - State:LA
Practice Address - Zip Code:70605-5426
Practice Address - Country:US
Practice Address - Phone:337-602-8686
Practice Address - Fax:337-419-1997
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-03
Last Update Date:2023-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA212279363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty