Individual provider · Type 1 NPI
Brent K. Thibodeaux, NP
Primary Care Nurse Practitioner · New Orleans, LA
NPI number
1801905740
Active
Practice location
1514 Jefferson Hwy
New Orleans, LA 70121-2429
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | RN098583 (LA) |
| Primary Care Nurse Practitioner Primary | 363LP2300X | AP04823 (LA) |
Primary Care Nurse Practitioner: Definition to come...
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About NPI 1801905740
Brent K. Thibodeaux, NP's National Provider Identifier is 1801905740, issued on Aug 30, 2006. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in New Orleans, LA. The record was last updated on Jun 30, 2011.