DIANE M PRIVITOR DAVIS

MONROE, LA
NPI1891886024
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: LA  APO5002)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: LA  AP05002)
Enumeration Date2006-09-26
Last Update Date2021-07-07
Business Address
Mrs. DIANE M PRIVITOR DAVIS FNP-C, PMHNPBC
1501 STUBBS AVE
MONROE, LA 71201-7120
Phone number: 318-816-5116
Mailing Address
Mrs. DIANE M PRIVITOR DAVIS FNP-C, PMHNPBC
200 WINTERPARK DR
WEST MONROE, LA 71292-1106
Phone number: 318-509-8008