# MR. SENIA TIMOTHY FONTENOT

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1861783417
- **Gender:** Man
- **Credential:** ANP-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WX0800X | Orthopedic Registered Nurse | RN117238 | LA | — |
| 363LA2200X | Adult Health Nurse Practitioner | AP06594 | LA | Yes |

## Other

- **Enumeration date:** 04/29/2011
- **Last updated:** 03/21/2017