Provider Demographics
NPI:1225062284
Name:AILLET, CARRIE ANN (CNM)
Entity Type:Individual
Prefix:MRS
First Name:CARRIE
Middle Name:ANN
Last Name:AILLET
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 633
Mailing Address - Street 2:4470 PETER MESSINA ROAD
Mailing Address - City:ADDIS
Mailing Address - State:LA
Mailing Address - Zip Code:70710-0633
Mailing Address - Country:US
Mailing Address - Phone:225-749-5855
Mailing Address - Fax:225-763-4650
Practice Address - Street 1:8595 PICARDY AVE
Practice Address - Street 2:SUITE 430
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70809-3670
Practice Address - Country:US
Practice Address - Phone:225-763-4650
Practice Address - Fax:225-763-4656
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP03879367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife