Individual provider · Type 1 NPI

Harley Elizabeth Benoit

Student in an Organized Health Care Education/Training Program · Thibodaux, LA

NPI number 1205334265 Active

Practice location

906 East First Street
Thibodaux, LA 70310-7311

Mailing address

112 Maple Ln
Thibodaux, LA 70301-7311

Other practice locations

  • 112 Maple Ln, Thibodaux, LA 70301-7311 · (985) 633-5534

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1205334265

Harley Elizabeth Benoit's National Provider Identifier is 1205334265, issued on Jan 24, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Thibodaux, LA. The record was last updated on Mar 17, 2018.