Individual
ANNA BARHAM BORGOGNONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
300 PAVILION RD, WEST MONROE, LA 71292-9470
(318) 323-1100
Mailing address
300 PAVILION RD, WEST MONROE, LA 71292-9470
(318) 323-1100
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09105762
—
MS
05
—
2404946
—
LA
Enumeration date
09/09/2015
Last updated
08/14/2025
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