Provider Demographics
NPI:1003227513
Name:CANTRALL, ALISON T (NP)
Entity Type:Individual
Prefix:MRS
First Name:ALISON
Middle Name:T
Last Name:CANTRALL
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Gender:F
Credentials:NP
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Mailing Address - Street 1:4809 AMBASSADOR CAFFERY PKWY
Mailing Address - Street 2:SUITE 110
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70508-8800
Mailing Address - Country:US
Mailing Address - Phone:337-235-7898
Mailing Address - Fax:337-235-7445
Practice Address - Street 1:2309 E MAIN ST
Practice Address - Street 2:SUITE 301
Practice Address - City:NEW IBERIA
Practice Address - State:LA
Practice Address - Zip Code:70560-4046
Practice Address - Country:US
Practice Address - Phone:337-364-4415
Practice Address - Fax:337-364-4495
Is Sole Proprietor?:No
Enumeration Date:2014-05-19
Last Update Date:2014-05-19
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Provider Licenses
StateLicense IDTaxonomies
LAAP07708363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily