Provider Demographics
NPI:1649586173
Name:SOILEAU, ARIANNA BROOKE (FNP-C)
Entity Type:Individual
Prefix:
First Name:ARIANNA
Middle Name:BROOKE
Last Name:SOILEAU
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:ARIANNA
Other - Middle Name:B
Other - Last Name:THIERRY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:901 W GLORIA SWITCH RD
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70507-2309
Mailing Address - Country:US
Mailing Address - Phone:337-886-0023
Mailing Address - Fax:337-886-0067
Practice Address - Street 1:901 W GLORIA SWITCH RD
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70507-2309
Practice Address - Country:US
Practice Address - Phone:337-886-0023
Practice Address - Fax:337-886-0067
Is Sole Proprietor?:No
Enumeration Date:2010-08-21
Last Update Date:2021-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA107252163W00000X
LAAP06265363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA3C031DQ48Medicare PIN