Provider Demographics
NPI:1073518189
Name:ARCENEAUX, LESLIE S (MSN, C-FNP, CDE)
Entity Type:Individual
Prefix:MRS
First Name:LESLIE
Middle Name:S
Last Name:ARCENEAUX
Suffix:
Gender:F
Credentials:MSN, C-FNP, CDE
Other - Prefix:MRS
Other - First Name:LESLIE
Other - Middle Name:S
Other - Last Name:ARCENEAUX
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSN, C-FNP, CDE
Mailing Address - Street 1:16061 DOCTORS BLVD
Mailing Address - Street 2:STE B
Mailing Address - City:HAMMOND
Mailing Address - State:LA
Mailing Address - Zip Code:70403-1479
Mailing Address - Country:US
Mailing Address - Phone:985-542-1334
Mailing Address - Fax:985-318-1004
Practice Address - Street 1:1416 GOBBLER HEAD DR
Practice Address - Street 2:
Practice Address - City:BOGALUSA
Practice Address - State:LA
Practice Address - Zip Code:70427-6091
Practice Address - Country:US
Practice Address - Phone:985-732-4853
Practice Address - Fax:985-735-8883
Is Sole Proprietor?:No
Enumeration Date:2005-06-15
Last Update Date:2019-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA09820012163WD0400X
LAAP3761363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1188018Medicaid
LAP32419Medicare UPIN
LA1188018Medicaid