Individual
EVANGELINE MARIE FONTENOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
8369 FLORIDA BLVD STE 8, DENHAM SPRINGS, LA 70726-7862
(225) 765-5500
(225) 667-1770
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(225) 765-5727
(225) 765-4278
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP09588
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP09588
NURSE PRACTITIONER LIC NUMBER
LA
Enumeration date
08/30/2017
Last updated
12/22/2020
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