Individual provider · Type 1 NPI

Kimberly Paternostro Bordelon

Family Nurse Practitioner · Ponchatoula, LA

NPI number 1013368794 Active

Practice location

180 N 5th St
Ponchatoula, LA 70454-2532

Mailing address

28404 Loiret Ct
Ponchatoula, LA 70454-8102

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XAP08813 (LA)

Family Nurse Practitioner: Definition to come...

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About NPI 1013368794

Kimberly Paternostro Bordelon's National Provider Identifier is 1013368794, issued on Jun 24, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Ponchatoula, LA. The record was last updated on Jun 24, 2016.