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NPI Code Detail

MEDICARE: MRS. HEATHER FONTENOT

MEDICARE: MRS. HEATHER FONTENOT
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
1171400000XHealth & Wellness Coach

General Provider Information

NPI Number : 1982461513
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. HEATHER FONTENOT
Provider Business Mailing Address
First Line : 45376 STRINGER BRIDGE RD
Second Line :
City : SAINT AMANT
State : LA
Zip : 70774-4122
Country : US
Telephone Number : 225-715-4130
Fax Number :
Provider Business Practice Location Address
First Line : 21516 HIGHWAY 36
Second Line :
City : ABITA SPRINGS
State : LA
Zip : 70420-3906
Country : US
Telephone Number : 225-715-4130
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/29/2024
Last Update Date : 02/29/2024

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Directions to “ MRS. HEATHER FONTENOT ” Practice Location

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