Provider Demographics
NPI:1881497964
Name:MONK, HOLLY RENE (MD)
Entity type:Individual
Prefix:
First Name:HOLLY
Middle Name:RENE
Last Name:MONK
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 GRAND TETON CT
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70131-8610
Mailing Address - Country:US
Mailing Address - Phone:504-722-6341
Mailing Address - Fax:
Practice Address - Street 1:1 GRAND TETON CT
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70131-8610
Practice Address - Country:US
Practice Address - Phone:504-722-6341
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-01
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA390200000X390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program