Individual provider · Type 1 NPI
Holly A. Fontenot Umfrid, APRN
Family Nurse Practitioner · Lake Charles, LA
NPI number
1447398631
Active
Practice location
109 Executive Dr
Lake Charles, LA 70611-5328
Mailing address
393 Royer Loop
Sulphur, LA 70663-0217
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | RN097876 AP04679 (LA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1447398631
Holly A. Fontenot Umfrid, APRN's National Provider Identifier is 1447398631, issued on Feb 1, 2007. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Lake Charles, LA. The record was last updated on Nov 14, 2019.