person
Champ Phuphanich, FNP
Family Nurse Practitioner in Houma, Louisiana
NPI 1023765427

Champ Phuphanich is a Family Nurse Practitioner based in Houma, LA and is specialized in Family. Champ Phuphanich practices in Houma, LA and has the professional credentials of FNP. The NPI Number for Champ Phuphanich is 1023765427 and holds a License No. 224407 (Louisiana).

The current practice location address for Champ Phuphanich is 1990 Industrial Blvd, Houma, LA and can be reached out via phone at 985-868-9300.

Location: 1990 Industrial Blvd, Houma, LA, 70363-7055
person
Provider Profile Details
NPI Number
1023765427
Provider Name
Champ Phuphanich
Credential
FNP
Provider Entity Type
Individual
Gender
Male
Address
1990 Industrial Blvd, Houma, LA, 70363-7055
Phone Number
985-868-9300
Fax Number
Provider Enumeration Date
03/04/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1990 Industrial Blvd
City
State
Zip
70363-7055
Phone Number
985-868-9300
Fax Number
person
Provider Business Mailing Address Details
Address
1990 Industrial Blvd
City
State
Zip
70363-7055
Phone Number
985-868-9300
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
224407 (Louisiana)
Definition
Definition to come...
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