Individual
TINA K MONLEZUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP,FNPBC
Contact information
Practice address
328 KELLOGG AVE, LAKE ARTHUR, LA 70549-4116
(337) 774-0100
(337) 774-0111
Mailing address
PO BOX 765, LAKE ARTHUR, LA 70549-0765
(337) 774-0111
(337) 774-0111
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APO25000
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1182826
—
LA
01
—
APO2500
ADV. PRACT. NURSE PRACTIT
LA
Enumeration date
12/06/2005
Last updated
03/07/2023
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