# THE FOOT AND ANKLE CLINIC OF WEST MONROE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Foot and Ankle Clinics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477301208
- **Authorized official:** TAYLOR RECORD CCMA (CREDENTIALING COORDINATOR)
- **Authorized official phone:** (318) 397-1574

## Contact information

- **Practice address:** 2309 ARKANSAS RD, WEST MONROE, LA 71291-7820
- **Practice address phone:** (318) 397-1574
- **Practice address fax:** (318) 397-1672
- **Mailing address:** 3601 DESIARD ST, MONROE, LA 71203-4352
- **Mailing address phone:** (318) 397-1574
- **Mailing address fax:** (318) 397-1672

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |
| 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