Individual provider · NPI-1

Charlotte Renee' Ardoin, FNP

Nurse Practitioner, Family · Lake Charles, LA

NPI number1841857778
StatusActive
Last updated in NPPESMay 27, 2019

Details

NPI
1841857778
Entity type
Individual (NPI-1)
Name
Charlotte Renee' Ardoin
Credential
FNP
Sex
Female
Sole proprietor
Yes
Enumeration date
May 27, 2019
Last updated
May 27, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, FamilyAP202271LAYes

Practice location

1106 Ryan St
Lake Charles, LA 70601-5252

Phone 337-497-9355

Mailing address

Po Box 134
Lacassine, LA 70650-0134

Phone 337-794-2238

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