Healthcare Provider Details

I. General information

NPI: 1396256194
Provider Name (Legal Business Name): ANN MARIE ARSENAULT NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ANN MARIE BELLINGTON

II. Dates (important events)

Enumeration Date: 10/19/2017
Last Update Date: 10/19/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1110 E SAINT PETER ST
NEW IBERIA LA
70560-3932
US

IV. Provider business mailing address

201 KILBOURNE CIR
CARENCRO LA
70520-5375
US

V. Phone/Fax

Practice location:
  • Phone: 337-364-1166
  • Fax:
Mailing address:
  • Phone: 337-781-0602
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP09621
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: