Doctor Name: | MRS. MARY AMELIA DUNCAN |
NPI Number: | 1679766455 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN, FNP-BC |
License Number: | AP04543 |
Business Practice Address: | 704 Poinciana Ave Suite C Mamou, LA - 705542224 |
Business Phone Number: | 3374684038 |
Business Fax Number: | 3374684042 |
Mailing Address: | 704 Poinciana Ave., Suite C MAMOU |
State: | LA |
Postal Code: | 70554 |
Phone Number: | 3374684038 |
Fax Number: | 3374684042 |
NPI Enumeration Date: | 08/24/2007 |
NPI Last Update Date: | 01/06/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | AP04543 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |