Provider Demographics
NPI:1326637737
Name:FUSELIER, KHRISTOPHER PAUL (FNP-C, PMHNP-BC)
Entity Type:Individual
Prefix:MR
First Name:KHRISTOPHER
Middle Name:PAUL
Last Name:FUSELIER
Suffix:
Gender:M
Credentials:FNP-C, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:421 N AVENUE F
Mailing Address - Street 2:
Mailing Address - City:CROWLEY
Mailing Address - State:LA
Mailing Address - Zip Code:70526-5044
Mailing Address - Country:US
Mailing Address - Phone:337-514-4757
Mailing Address - Fax:
Practice Address - Street 1:421 N AVENUE F
Practice Address - Street 2:
Practice Address - City:CROWLEY
Practice Address - State:LA
Practice Address - Zip Code:70526-5044
Practice Address - Country:US
Practice Address - Phone:337-514-4757
Practice Address - Fax:337-806-8270
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-12
Last Update Date:2024-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA218812363LF0000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA2547992Medicaid