Individual provider · Type 1 NPI

Ted Etell Fontenot, ANP

Adult Health Nurse Practitioner · Lake Charles, LA

NPI number 1598052052 Active

Practice location

1717 Oak Park Blvd Fl 2
Lake Charles, LA 70601-8990

Fax (337) 494-3240

Mailing address

PO Box 122152 Dept 2152
Dallas, TX 75312-0001

Other practice locations

  • 109 W 4th St, Deridder, LA 70634-4849 · (337) 494-3278
  • 913 E Kent Dr, Sulphur, LA 70663-5007 · (337) 527-3610
  • 1322 Elton Rd Ste P, Jennings, LA 70546-4100 · (337) 494-3278
  • 122 W 4th St, Dequincy, LA 70633-3508 · (337) 494-3278

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200XAP06448 (LA)

Adult Health Nurse Practitioner: Definition to come...

16 other providers at this address

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About NPI 1598052052

Ted Etell Fontenot, ANP's National Provider Identifier is 1598052052, issued on Jul 6, 2011. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Lake Charles, LA. The record was last updated on Apr 27, 2022.