Individual
CHARLOTTE RENEE' ARDOIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1106 RYAN ST, LAKE CHARLES, LA 70601-5252
(337) 497-9355
Mailing address
PO BOX 134, LACASSINE, LA 70650-0134
(337) 794-2238
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP202271
LA
Other
Enumeration date
05/27/2019
Last updated
05/27/2019
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