Provider Demographics
NPI:1407342306
Name:CENAC, LUKE ANTHONY (APRN, FNP)
Entity Type:Individual
Prefix:MR
First Name:LUKE
Middle Name:ANTHONY
Last Name:CENAC
Suffix:
Gender:M
Credentials:APRN, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1111 S PETERS ST APT 105
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70130-1709
Mailing Address - Country:US
Mailing Address - Phone:985-855-0397
Mailing Address - Fax:
Practice Address - Street 1:1111 S PETERS ST APT 105
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70130-1709
Practice Address - Country:US
Practice Address - Phone:985-855-0397
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-03
Last Update Date:2018-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP10092363LF0000X
LARN133156163WE0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WE0003XNursing Service ProvidersRegistered NurseEmergency