Healthcare Provider Details

I. General information

NPI: 1447173661
Provider Name (Legal Business Name): KYRSTEN ADAIR FREYOU AGNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1402 W 8TH ST
KAPLAN LA
70548-2918
US

IV. Provider business mailing address

3308 RIVERWOOD RD
NEW IBERIA LA
70560-9022
US

V. Phone/Fax

Practice location:
  • Phone: 337-285-6033
  • Fax:
Mailing address:
  • Phone: 337-519-8179
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number239930
License Number StateLA
# 2
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number239930
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: