Provider Demographics
NPI:1902496664
Name:NEVEU, PHOENICIA (NP-C)
Entity Type:Individual
Prefix:
First Name:PHOENICIA
Middle Name:
Last Name:NEVEU
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:204 VILLAGE LN
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70506-3817
Mailing Address - Country:US
Mailing Address - Phone:210-781-7800
Mailing Address - Fax:
Practice Address - Street 1:818 E VETERANS MEML DR
Practice Address - Street 2:
Practice Address - City:KAPLAN
Practice Address - State:LA
Practice Address - Zip Code:70548-5106
Practice Address - Country:US
Practice Address - Phone:337-285-6001
Practice Address - Fax:337-735-3028
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-26
Last Update Date:2021-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA218976363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily