Healthcare Provider Details

I. General information

NPI: 1538089792
Provider Name (Legal Business Name): BRITTANY ARDOIN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/17/2026
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

119 S 5TH ST
IOTA LA
70543-6105
US

IV. Provider business mailing address

365 HIGHWAY 758
EUNICE LA
70535-7974
US

V. Phone/Fax

Practice location:
  • Phone: 337-779-6000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number206470
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: