Healthcare Provider Details

I. General information

NPI: 1699566307
Provider Name (Legal Business Name): MRS. TAYLOR R ARCENEAUX
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/13/2025
Last Update Date: 07/02/2025
Certification Date: 07/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1211 COOLIDGE BLVD STE 100
LAFAYETTE LA
70503-2638
US

IV. Provider business mailing address

1211 COOLIDGE BLVD STE 100
LAFAYETTE LA
70503-2638
US

V. Phone/Fax

Practice location:
  • Phone: 337-289-8400
  • Fax:
Mailing address:
  • Phone: 337-289-8400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WX0200X
TaxonomyOncology Registered Nurse
License NumberRN145271
License Number StateLA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number242316
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: