Provider Demographics
NPI:1700619194
Name:ARCENEAUX, DAWN PATRICE (FNP)
Entity type:Individual
Prefix:
First Name:DAWN
Middle Name:PATRICE
Last Name:ARCENEAUX
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 395
Mailing Address - Street 2:
Mailing Address - City:GRAND COTEAU
Mailing Address - State:LA
Mailing Address - Zip Code:70541-0395
Mailing Address - Country:US
Mailing Address - Phone:337-257-8773
Mailing Address - Fax:
Practice Address - Street 1:106 OIL CENTER DR STE 104B
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70503-2482
Practice Address - Country:US
Practice Address - Phone:337-549-5800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-22
Last Update Date:2024-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA236249363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily