Provider Demographics
NPI:1659312346
Name:SOLET, ANITA LOUISE (ARNP)
Entity Type:Individual
Prefix:
First Name:ANITA
Middle Name:LOUISE
Last Name:SOLET
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:109 ESTEVA ST
Mailing Address - Street 2:
Mailing Address - City:DUSON
Mailing Address - State:LA
Mailing Address - Zip Code:70529-3315
Mailing Address - Country:US
Mailing Address - Phone:337-873-2351
Mailing Address - Fax:
Practice Address - Street 1:530 W MILL ST
Practice Address - Street 2:
Practice Address - City:CROWLEY
Practice Address - State:LA
Practice Address - Zip Code:70526-5509
Practice Address - Country:US
Practice Address - Phone:337-788-7507
Practice Address - Fax:337-788-7577
Is Sole Proprietor?:No
Enumeration Date:2006-06-10
Last Update Date:2009-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP05176363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1016390Medicaid
FL1016390Medicaid