Healthcare Provider Details

I. General information

NPI: 1588588644
Provider Name (Legal Business Name): MEGAN ESTILETTE MSN, APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

904 THE BLVD STE C
RAYNE LA
70578-6135
US

IV. Provider business mailing address

5121 US HWY 167 N
VILLE PLATTE LA
70586
US

V. Phone/Fax

Practice location:
  • Phone: 337-393-2052
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number248517
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: