EVANGELINE MARIE FONTENOT FNP-C NPI 1104344175

NPI Information

NPI: 1104344175
Provider Name: EVANGELINE MARIE FONTENOT, FNP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
8369 FLORIDA BLVD STE 8
DENHAM SPRINGS, LA
ZIP 70726
Phone: (225) 765-5500
Get Directions

Evangeline Marie Fontenot, FNP-C is a family nurse practitioner in Denham Springs, LA. Evangeline Marie Fontenot, FNP-C NPI is 1104344175. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

8369 FLORIDA BLVD STE 8
DENHAM SPRINGS, LA
ZIP 70726-862
Phone: (225) 765-5500
Fax: (225) 667-1770

The NPI 1104344175 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 8/30/2017 and was last updated on 12/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	AP09588	LOUISIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	AP09588	OTHER	LOUISIANA	NURSE PRACTITIONER LIC NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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