MEDICARE: MS. PAULA FONTENOT LAHAYE MSN, WHNP, FNP, ENP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	AP121908	TX
2	363LW0102X	Women's Health Nurse Practitioner	04097	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1033155684
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. PAULA FONTENOT LAHAYE MSN, WHNP, FNP, ENP

Provider Business Mailing Address
First Line	:	909 FROSTWOOD DR STE 1.100
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77024-2301
Country	:	US
Telephone Number	:	713-338-5519
Fax Number	:

Provider Business Practice Location Address
First Line	:	4500 WASHINGTON AVE STE 100
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77007-5477
Country	:	US
Telephone Number	:	713-861-6490
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/21/2006
Last Update Date	:	01/29/2025

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