Provider Demographics
NPI:1881067130
Name:CENTANNI, ARMAND VICTOR (PA)
Entity type:Individual
Prefix:
First Name:ARMAND
Middle Name:VICTOR
Last Name:CENTANNI
Suffix:
Gender:M
Credentials:PA
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Mailing Address - Street 1:2051 SILVERSIDE DR
Mailing Address - Street 2:STE 260
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70808-9005
Mailing Address - Country:US
Mailing Address - Phone:225-490-6309
Mailing Address - Fax:225-765-9291
Practice Address - Street 1:7777 HENNESSY BLVD
Practice Address - Street 2:STE 700
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70808-4300
Practice Address - Country:US
Practice Address - Phone:225-765-2048
Practice Address - Fax:225-765-1958
Is Sole Proprietor?:No
Enumeration Date:2015-11-09
Last Update Date:2015-11-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
LAPA.200891363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant