Individual
MRS. PENNY P CAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F.N.P.-C
Contact information
Practice address
920 OLIVER RD, MONROE, LA 71201-5702
(318) 807-4951
(318) 812-0808
Mailing address
130 DESIARD ST, SUITE 355, MONROE, LA 71201-7319
(318) 807-7875
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP04071
LA
363LF0000X
Family Nurse Practitioner
Primary
AP04071
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2165186
—
LA
Enumeration date
07/31/2006
Last updated
09/19/2019
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