MEDICARE: MRS. AMBER D LITTLEFIELD PMHNP-BC

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	363L00000X	Nurse Practitioner	AP06504	LA
2	363L00000X	Nurse Practitioner	120837	LA
3	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	AP06504	LA

General Provider Information

NPI Number	:	1538440094
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. AMBER D LITTLEFIELD PMHNP-BC

Provider Business Mailing Address
First Line	:	3100 JANE ST
Second Line	:
City	:	NEW IBERIA
State	:	LA
Zip	:	70563-1003
Country	:	US
Telephone Number	:	337-288-2240
Fax Number	:	337-330-4732

Provider Business Practice Location Address
First Line	:	805 ALBERTSON PKWY STE A
Second Line	:
City	:	BROUSSARD
State	:	LA
Zip	:	70518-4350
Country	:	US
Telephone Number	:	337-330-4730
Fax Number	:	337-330-4732

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

Provider Enumeration Date	:	08/29/2011
Last Update Date	:	10/27/2024

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