Individual
ELIZABETH FONTENOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNM
Contact information
Practice address
7941 PICARDY AVE, BATON ROUGE, LA 70809-3536
(225) 761-1200
Mailing address
841 ALBERT HART DR, BATON ROUGE, LA 70808-5807
(225) 802-9650
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
AP09846
LA
Other
Enumeration date
02/23/2018
Last updated
02/23/2018
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