Individual
MRS. MARY AMELIA DUNCAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-BC
Contact information
Practice address
704 POINCIANA AVE, SUITE C, MAMOU, LA 70554-2224
(337) 468-4038
(337) 468-4042
Mailing address
704 POINCIANA AVE., SUITE C, MAMOU, LA 70554
(337) 468-4038
(337) 468-4042
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP04543
LA
363LC1500X
Community Health Nurse Practitioner
AP04543
LA
363LF0000X
Family Nurse Practitioner
95003863
CA
363LF0000X
Family Nurse Practitioner
Primary
AP04543
LA
363LP2300X
Primary Care Nurse Practitioner
95003863
CA
363LP2300X
Primary Care Nurse Practitioner
AP04543
LA
Other
Enumeration date
08/24/2007
Last updated
11/03/2017
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