Crystal Ardoin Fontenot NP

NPI 1568697563 - Nurse Practitioner - 363LA2200X

NPI Details
NPI 1568697563
Gender Female
Enumeration Date 05/19/2009
Last Updated 11/04/2011
Entity Type Individual
Active Over 7 years ago
Practice Location
2000 OPELOUSAS ST
LAKE CHARLES LA, 70601-2641, US
Phone (337) 439-9983
Fax (337) 439-9250
Business Location
2000 OPELOUSAS ST
LAKE CHARLES LA, 70601-2641, US
Phone (337) 439-9983
Fax
Toxanomy
Taxonomy Code 363LA2200X
License State Louisiana
License Number RN103946-AP05780
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According to our database, Crystal Ardoin Fontenot NP NPI is 1568697563, taxonomy code is 363LA2200X and license number is RN103946-AP05780, license state is located at Louisiana. Crystal Ardoin Fontenot NP physically located at 2000 Opelousas St, Lake Charles LA, 70601-2641. NPI Number Crystal Ardoin Fontenot NP has the Individual type.

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1568697563 NPI number is provided on an as is basis without warranty of any kind. 1568697563 is maintained by the National Plan & Provider Enumeration System. The contents of Crystal Ardoin Fontenot NP are for informational purposes only.