Individual
MRS. ASHLEY MONIQUE BIVONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
42078 VETERANS AVE, HAMMOND, LA 70403-1490
(985) 542-7177
Mailing address
41166 DUNSON RD, PONCHATOULA, LA 70454-5164
(985) 351-5934
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
211805
LA
Other
Enumeration date
02/12/2020
Last updated
02/12/2020
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