| Doctor Name: | CATHERINE NSIKAK UDOFIA |
| NPI Number: | 1023411766 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN, FPMHNP-BC |
| License Number: | 08037 |
| Business Practice Address: | 2829 4th Ave Lake Charles, LA - 706017887 |
| Business Phone Number: | 3374777091 |
| Business Fax Number: | 3374744552 |
| Mailing Address: | 5 Phlox Dr, LAFAYETTE |
| State: | LA |
| Postal Code: | 705074538 |
| Phone Number: | 9032581840 |
| Fax Number: | |
| NPI Enumeration Date: | 10/08/2014 |
| NPI Last Update Date: | 04/03/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0808X |
| License Number: | 08037 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |