Organization · Type 2 NPI
Acute Care Clinic
Community Health Nurse Practitioner · Thibodaux, LA
NPI number
1144495334
Active
Practice location
205 Hermitage Dr
Thibodaux, LA 70301-2914
Fax (985) 448-0822
Mailing address
1208 Canal Blvd
Thibodaux, LA 70301-4511
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community Health Nurse Practitioner Primary | 363LC1500X | MD06503R (LA) |
Community Health Nurse Practitioner: Definition to come...
About NPI 1144495334
Acute Care Clinic's National Provider Identifier is 1144495334, issued on Apr 28, 2008. The primary taxonomy on file is Community Health Nurse Practitioner (363LC1500X), and the practice location is in Thibodaux, LA. The record was last updated on Apr 28, 2008.