Individual provider · Type 1 NPI
Diana Fontenot Roy, CRNA
General Practice Registered Nurse · Lafayette, LA
NPI number
1235129727
Active
Practice location
2390 W Congress St
Lafayette, LA 70506-4205
Mailing address
104 Mission Hills
Broussard, LA 70518
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Registered Nurse Primary | 163WG0000X | 36487 (LA) |
General Practice Registered Nurse: Definition to come...
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About NPI 1235129727
Diana Fontenot Roy, CRNA's National Provider Identifier is 1235129727, issued on Oct 26, 2005. The primary taxonomy on file is General Practice Registered Nurse (163WG0000X), and the practice location is in Lafayette, LA. The record was last updated on Jul 8, 2007.