Individual
MS. ANNE PRENTISS PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
806 JEFFERSON TER, NEW IBERIA, LA 70560-5727
(373) 654-9453
Mailing address
806 JEFFERSON TER, NEW IBERIA, LA 70560-5727
(337) 365-4945
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
320841
LA
363A00000X
Physician Assistant
PT2019-025
AR
Other
Enumeration date
05/03/2019
Last updated
10/09/2025
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