Provider Demographics
NPI:1699010710
Name:ARCENEAUX, AIMEE CLAIRE (NP)
Entity Type:Individual
Prefix:
First Name:AIMEE
Middle Name:CLAIRE
Last Name:ARCENEAUX
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:209 BRIGHTON LN
Mailing Address - Street 2:
Mailing Address - City:BERWICK
Mailing Address - State:LA
Mailing Address - Zip Code:70342-3139
Mailing Address - Country:US
Mailing Address - Phone:985-518-9056
Mailing Address - Fax:
Practice Address - Street 1:912 MARGUERITE ST
Practice Address - Street 2:
Practice Address - City:MORGAN CITY
Practice Address - State:LA
Practice Address - Zip Code:70380-1838
Practice Address - Country:US
Practice Address - Phone:985-221-5321
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-11-29
Last Update Date:2021-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP07142363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA2328069Medicaid
LA273969YH83Medicare PIN