Individual
STEPHANIE FIFE PARENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8230 SUMMA AVE, SUITE C, BATON ROUGE, LA 70809-3406
(225) 757-0552
(225) 763-9997
Mailing address
8230 SUMMA AVE, SUITE C, BATON ROUGE, LA 70809-3406
(225) 757-0552
(225) 763-9997
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.200428
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2142232
—
LA
Enumeration date
02/12/2011
Last updated
09/29/2016
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