Individual
NEFERTITI C DUPONT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Mailing address
9201 PINECROFT DR, SHENANDOAH, TX 77380-3222
(936) 447-9490
(832) 442-4657
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
71572
WI
207VX0201X
Gynecologic Oncology Physician
Q1136
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03023094
—
NY
05
—
337897801
—
TX
05
—
337897802
—
TX
Enumeration date
01/03/2007
Last updated
04/02/2021
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