Organization · Type 2 NPI
Prevention Plus of Thibodaux LLC
Primary Care Nurse Practitioner · Thibodaux, LA
NPI number
1285005967
Active
Practice location
905 Canal Blvd
Thibodaux, LA 70301-4505
Fax (985) 492-9102
Mailing address
PO Box 1813
Thibodaux, LA 70302-1813
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | None listed |
Primary Care Nurse Practitioner: Definition to come...
Another provider at this address
About NPI 1285005967
Prevention Plus of Thibodaux LLC's National Provider Identifier is 1285005967, issued on Oct 7, 2015. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Thibodaux, LA. The record was last updated on Dec 8, 2025.