Provider Demographics
NPI:1720227911
Name:MONK DUFOUR, PATRICIA H (NP)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:H
Last Name:MONK DUFOUR
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MRS
Other - First Name:PATRICIA
Other - Middle Name:HOPE
Other - Last Name:MANCIL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:434 E CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:MARKSVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:71351-3000
Mailing Address - Country:US
Mailing Address - Phone:318-729-3219
Mailing Address - Fax:318-253-7944
Practice Address - Street 1:434 E CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:MARKSVILLE
Practice Address - State:LA
Practice Address - Zip Code:71351-3000
Practice Address - Country:US
Practice Address - Phone:318-729-3219
Practice Address - Fax:318-253-2299
Is Sole Proprietor?:No
Enumeration Date:2009-02-11
Last Update Date:2020-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP04166363LF0000X
LARN077087163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse