Individual
MICHAELA PONARSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2408 BROADMOOR BLVD STE B, MONROE, LA 71201-2994
(318) 807-0525
(318) 807-1077
Mailing address
130 DESIARD ST STE 355, MONROE, LA 71201-7363
(318) 998-3426
(318) 812-6603
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
205863
LA
Other
Enumeration date
06/05/2023
Last updated
06/05/2023
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