Individual
MAGGIE MARIE FONTENOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
3256 HIGHWAY 190, EUNICE, LA 70535-5125
(337) 550-8530
(337) 550-8534
Mailing address
604 N ACADIA RD STE 101, THIBODAUX, LA 70301-4897
(985) 446-5079
(985) 447-2497
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
202627
LA
Other
Enumeration date
11/20/2024
Last updated
02/13/2025
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