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Organization
THE FOOT AND ANKLE CLINIC OF WEST MONROE, LLC
Active
Organization
THE FOOT AND ANKLE CLINIC OF WEST MONROE, LLC
Active
Other names
The Foot and Ankle Clinics
Organization subpart
No
Provider details
NPI number
Authorized official
TAYLOR RECORD CCMA (CREDENTIALING COORDINATOR)
(318) 397-1574
Entity
Organization
Contact information
Practice address
2309 ARKANSAS RD, WEST MONROE, LA 71291-7820
(318) 397-1574
(318) 397-1672
Mailing address
3601 DESIARD ST, MONROE, LA 71203-4352
(318) 397-1574
(318) 397-1672
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
NULL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
363LA2100X
Acute Care Nurse Practitioner
—
NULL
363LA2100X
Acute Care Nurse Practitioner
—
—
Other
Enumeration date
05/07/2024
Last updated
05/07/2024
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