Fanguy, Heather Lynn

Fanguy, Heather Lynn is an individual health care provider with primary practice located at 259 Gabasse St , Houma LA 70360-4417. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Fanguy, Heather Lynn can be contacted via phone (985) 873-7244.

Contact Information

Primary practice address
259 Gabasse St Houma LA 70360-4417
Phone: (985) 873-7244
Fax: (985) 876-2111
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP05565 Louisiana

Profile Details

NPI number 1942456512
LBN Legal business name Fanguy, Heather Lynn
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2008
Last updated Aug 12th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942456512 NPPES
Louisiana MEDICAID 1307084

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