Provider Demographics
NPI:1770988479
Name:FONTENOT, NATALYN SONNIER (PA-C)
Entity type:Individual
Prefix:MRS
First Name:NATALYN
Middle Name:SONNIER
Last Name:FONTENOT
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:NATALYN
Other - Middle Name:LUCI
Other - Last Name:SONNIER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:603 HAIFLEIGH ST
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:LA
Mailing Address - Zip Code:70538-3734
Mailing Address - Country:US
Mailing Address - Phone:337-828-9092
Mailing Address - Fax:337-828-3945
Practice Address - Street 1:603 HAIFLEIGH ST
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:LA
Practice Address - Zip Code:70538-3734
Practice Address - Country:US
Practice Address - Phone:337-828-9092
Practice Address - Fax:337-828-3945
Is Sole Proprietor?:No
Enumeration Date:2014-10-24
Last Update Date:2020-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAPA.200727363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical