Healthcare Provider Details

I. General information

NPI: 1609784859
Provider Name (Legal Business Name): STEVEN MICHAEL ENLOW CLANTON RN, NRP
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/29/2026
Last Update Date: 08/29/2026
Certification Date: 08/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

625 BIENVILLE CIR STE A
NATCHITOCHES LA
71457-5744
US

IV. Provider business mailing address

625 BIENVILLE CIR STE A
NATCHITOCHES LA
71457-5744
US

V. Phone/Fax

Practice location:
  • Phone: 318-357-2260
  • Fax: 318-357-2261
Mailing address:
  • Phone: 318-357-2260
  • Fax: 318-357-2261

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP0905X
TaxonomyState or Local Public Health Clinic/Center
License NumberRN125948
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: