Individual
PENNY CUMMINS MONTCALM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
261 HIGHWAY 132, MANGHAM, LA 71259-5269
(318) 248-2807
(318) 248-2967
Mailing address
130 DESIARD ST STE 355, MONROE, LA 71201-7363
(318) 807-7875
(318) 812-6603
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RNO077152 APO4877
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2458132
—
LA
Enumeration date
09/25/2009
Last updated
06/12/2019
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