BRENT K THIBODEAUX

NEW ORLEANS, LA
NPI1801905740
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP2300X Nurse Practitioner Primary Care
(Licence: LA  AP04823)
Additional Taxonomies363LP2300X Nurse Practitioner Primary Care
(Licence: LA  RN098583)
Enumeration Date2006-08-30
Last Update Date2011-06-30
Business Address
BRENT K THIBODEAUX NP
1514 JEFFERSON HWY
NEW ORLEANS, LA 70121-2429
Phone number: 504-842-4000
Mailing Address
BRENT K THIBODEAUX NP
1514 JEFFERSON HWY
NEW ORLEANS, LA 70121-2429
Phone number: 504-842-4000
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