Fontenot, Evangeline Marie

Fontenot, Evangeline Marie is an individual health care provider with primary practice located at 8369 Florida Blvd Ste 8 , Denham Springs LA 70726-7862. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Fontenot, Evangeline Marie can be contacted via phone (225) 765-5500.

Contact Information

Primary practice address
8369 Florida Blvd Ste 8 Denham Springs LA 70726-7862
Phone: (225) 765-5500
Fax: (225) 667-1770
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP09588 Louisiana

Profile Details

NPI number 1104344175
LBN Legal business name Fontenot, Evangeline Marie
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2017
Last updated Dec 22nd, 2020 - about 5 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 1104344175 NPPES
Louisiana Other AP09588 NURSE PRACTITIONER LIC NUMBER

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