Individual provider · Type 1 NPI
Carolyn Rideaux, NP
Adult Health Nurse Practitioner · Lake Charles, LA
NPI number
1083994347
Active
Practice location
2837 Ernest St
Lake Charles, LA 70601-8785
Fax (337) 439-1133
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | RN044627-AP06618 (LA) |
Adult Health Nurse Practitioner: Definition to come...
2 other providers at this address
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About NPI 1083994347
Carolyn Rideaux, NP's National Provider Identifier is 1083994347, issued on Aug 18, 2011. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Lake Charles, LA. The record was last updated on Aug 18, 2011.