Individual
MRS. ANGELA RENEE FONTENOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-C
Contact information
Practice address
901 HUGH WALLIS RD S, LAFAYETTE, LA 70508
(337) 250-2000
Mailing address
196 WILD IRIS DR, EVANGELINE, LA 70537-3203
(337) 250-2000
(337) 616-9399
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
202446
LA
Other
Enumeration date
01/07/2019
Last updated
12/20/2024
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