Diana Fontenot Roy, crna
Registered Nurse, General Practice in Lafayette, LA. Individual provider (NPI-1).
NPI number1235129727
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1235129727
- Entity type
- Individual (NPI-1)
- Name
- Diana Fontenot Roy
- Credential
- crna
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 26, 2005
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WG0000X | Registered Nurse, General Practice | 36487 | LA | Yes |
Other names
- Diana Fontenot Roy (Professional Name)
Practice location
2390 W Congress StLafayette, LA 70506-4205
Phone 337-261-6272
Mailing address
104 Mission HillsBroussard, LA 70518
Phone 337-856-0747
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