Provider Demographics
NPI:1285801662
Name:ARCENEAUX, STEPHANIE PERRODIN (NP)
Entity type:Individual
Prefix:MRS
First Name:STEPHANIE
Middle Name:PERRODIN
Last Name:ARCENEAUX
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Gender:F
Credentials:NP
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Mailing Address - Street 1:1270 ATTAKAPAS DR
Mailing Address - Street 2:SUITE 103-C
Mailing Address - City:OPELOUSAS
Mailing Address - State:LA
Mailing Address - Zip Code:70570-6549
Mailing Address - Country:US
Mailing Address - Phone:337-942-2822
Mailing Address - Fax:337-942-5822
Practice Address - Street 1:1270 ATTAKAPAS DR
Practice Address - Street 2:SUITE 103-C
Practice Address - City:OPELOUSAS
Practice Address - State:LA
Practice Address - Zip Code:70570-6549
Practice Address - Country:US
Practice Address - Phone:337-942-2822
Practice Address - Fax:337-942-5822
Is Sole Proprietor?:No
Enumeration Date:2008-05-14
Last Update Date:2008-05-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
LA55677-5443363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health