Individual provider · Type 1 NPI
Sydney Morales Fontenot, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Lake Charles, LA
NPI number
1780481812
Active
Practice location
1924 Southwood Dr
Lake Charles, LA 70605-4131
Mailing address
PO Box 4023
Lake Charles, LA 70606-4023
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 213346 (LA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1780481812
Sydney Morales Fontenot, PMHNP-BC's National Provider Identifier is 1780481812, issued on Feb 26, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Lake Charles, LA. The record was last updated on Feb 26, 2025.