1841676129 NPI number — STACEY LACOMBE ARMAND FNP-C

Table of content: STACEY LACOMBE ARMAND FNP-C (NPI 1841676129)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1841676129 NPI number — STACEY LACOMBE ARMAND FNP-C

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ARMAND
Provider First Name:
STACEY
Provider Middle Name:
LACOMBE
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
FNP-C
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
CAUSEY
Provider Other First Name:
STACEY
Provider Other Middle Name:
LACOMBE
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1841676129
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/27/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5604 A COLISEUM BLVD.
Provider Second Line Business Mailing Address:
RAPIDS PARISH HEALTH UNIT/OFFICE OF PUBLIC HEALTH
Provider Business Mailing Address City Name:
ALEXANDRIA
Provider Business Mailing Address State Name:
LA
Provider Business Mailing Address Postal Code:
71303
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
318-487-5270
Provider Business Mailing Address Fax Number:
318-487-5557

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
CONCORDIA PARISH HEALTH UNIT/OFFICE OF PUBLIC HEALTH
Provider Second Line Business Practice Location Address:
905 MICKEY GILLEY AVE.
Provider Business Practice Location Address City Name:
FERRIDAY
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
71334
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
318-757-8632
Provider Business Practice Location Address Fax Number:
318-757-7654
Provider Enumeration Date:
08/10/2015

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LF0000X , with the licence number:  AP08294 , registered in the state of LA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 2399381 , issued by the state of ( LA ) . This identifiers is of the category "MEDICAID".




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