Provider Demographics
NPI:1538440094
Name:LITTLEFIELD, AMBER D (PMHNP-BC)
Entity type:Individual
Prefix:MRS
First Name:AMBER
Middle Name:D
Last Name:LITTLEFIELD
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3100 JANE ST
Mailing Address - Street 2:
Mailing Address - City:NEW IBERIA
Mailing Address - State:LA
Mailing Address - Zip Code:70563-1003
Mailing Address - Country:US
Mailing Address - Phone:337-288-2240
Mailing Address - Fax:337-330-4732
Practice Address - Street 1:805 ALBERTSON PKWY STE A
Practice Address - Street 2:
Practice Address - City:BROUSSARD
Practice Address - State:LA
Practice Address - Zip Code:70518-4350
Practice Address - Country:US
Practice Address - Phone:337-330-4730
Practice Address - Fax:337-330-4732
Is Sole Proprietor?:No
Enumeration Date:2011-08-29
Last Update Date:2024-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP06504363L00000X, 363LP0808X
LA120837363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner