Fontenot, Angela H.
Fontenot, Angela H. is an individual health care provider with primary practice located at 160 Broad St , Providence RI 02903-4028. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Fontenot, Angela H. can be contacted via phone (401) 861-2403.Contact Information
Primary practice address
160 Broad St
Providence RI 02903-4028
Phone: (401) 861-2403
Fax: (401) 521-1145
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | APRN 04419 | Louisiana |
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | APRN02401 | Rhode Island |
Profile Details
NPI number | 1881769982 |
---|---|
LBN Legal business name | Fontenot, Angela H. |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 22nd, 2006 |
Last updated | Apr 14th, 2021 - about 3 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1881769982 | NPPES |
Louisiana | MEDICAID | 1461504 |
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