Individual provider · Type 1 NPI
Emily Granger Thibodeaux, FNP
Family Nurse Practitioner · Lake Charles, LA
NPI number
1528954872
Active
Practice location
826 N Huval Dr
Lake Charles, LA 70611-5254
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | F06250741 (LA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1528954872
Emily Granger Thibodeaux, FNP's National Provider Identifier is 1528954872, issued on Jun 14, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Lake Charles, LA. The record was last updated on Jun 14, 2025.