Individual
PATRICIA D. MCGOVERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
100 ASMA BLVD BLDG 1 SUITE 205, LAFAYETTE, LA 70508
(337) 470-3486
(337) 289-5609
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(337) 470-3486
(225) 765-9196
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN047758 AP05181
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1029050
—
LA
Enumeration date
08/30/2007
Last updated
02/22/2023
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