MEDICARE: BENJI J ARBONEAUX FNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	AP04911	LA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00346374	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1538183108
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BENJI J ARBONEAUX FNP

Provider Business Mailing Address
First Line	:	9655 PERKINS RD
Second Line	:	STE C
City	:	BATON ROUGE
State	:	LA
Zip	:	70810-1534
Country	:	US
Telephone Number	:	337-289-8970
Fax Number	:	337-289-8971

Provider Business Practice Location Address
First Line	:	9655 PERKINS RD
Second Line	:	STE C
City	:	BATON ROUGE
State	:	LA
Zip	:	70810-1534
Country	:	US
Telephone Number	:	225-387-0851
Fax Number	:	225-383-8477

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/27/2006
Last Update Date	:	08/13/2016

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