Provider Demographics
NPI:1942872460
Name:RICHARD, ELISE SONNIER (APRN, NP-C)
Entity type:Individual
Prefix:
First Name:ELISE
Middle Name:SONNIER
Last Name:RICHARD
Suffix:
Gender:F
Credentials:APRN, NP-C
Other - Prefix:
Other - First Name:ELISE
Other - Middle Name:
Other - Last Name:SONNIER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN, NP-C
Mailing Address - Street 1:5959 S SHERWOOD FOREST BLVD
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70816-6038
Mailing Address - Country:US
Mailing Address - Phone:337-470-3040
Mailing Address - Fax:225-765-9196
Practice Address - Street 1:4811 AMBASSADOR CAFFERY PKWY STE 401A
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70508-7265
Practice Address - Country:US
Practice Address - Phone:337-470-3040
Practice Address - Fax:337-470-3052
Is Sole Proprietor?:No
Enumeration Date:2021-07-14
Last Update Date:2024-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA219401363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily