Individual
TINA DUNCAN MALONSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
1428 GAUSE BLVD STE 107, SLIDELL, LA 70458-2247
(985) 285-6843
Mailing address
7095 HUNTERS WAY, DENHAM SPRINGS, LA 70726-5642
(985) 285-6843
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
211050
LA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
211050
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1581453
—
LA
Enumeration date
01/27/2020
Last updated
09/14/2023
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