Provider Demographics
NPI:1427103332
Name:ANGELETTE, HEATHER COMPEAUX (RD, LDN)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:COMPEAUX
Last Name:ANGELETTE
Suffix:
Gender:F
Credentials:RD, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 W 134TH PL
Mailing Address - Street 2:
Mailing Address - City:CUT OFF
Mailing Address - State:LA
Mailing Address - Zip Code:70345-4143
Mailing Address - Country:US
Mailing Address - Phone:985-325-8426
Mailing Address - Fax:985-632-2380
Practice Address - Street 1:200 W 134TH PL
Practice Address - Street 2:
Practice Address - City:CUT OFF
Practice Address - State:LA
Practice Address - Zip Code:70345-4143
Practice Address - Country:US
Practice Address - Phone:985-325-8426
Practice Address - Fax:985-325-4003
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-24
Last Update Date:2012-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA950035133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered