Individual
MRS. ANNA THEVENOT FONTENOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1008 W MAIN ST, VILLE PLATTE, LA 70586-4208
(337) 363-5531
(337) 363-5052
Mailing address
1008 W MAIN ST, VILLE PLATTE, LA 70586-4208
(337) 363-5531
(337) 363-5052
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP06138
LA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP06138
LA
Other
Enumeration date
07/29/2010
Last updated
05/09/2023
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