person
Timothy J Pellegrin, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner in Houma, Louisiana
NPI 1134160815

Timothy J Pellegrin is a Psychiatric/Mental Health Nurse Practitioner based in Franklin, LA and is specialized in Psychiatric/Mental Health. Timothy J Pellegrin practices in Houma, LA and has the professional credentials of PMHNP-BC. The NPI Number for Timothy J Pellegrin is 1134160815 and holds a License No. APO4222 (Louisiana).

The current practice location address for Timothy J Pellegrin is 1014 W Tunnel Blvd, Houma, LA and can be reached out via phone at 985-851-1717 and via fax at 985-868-3839. You can also correspond with Timothy J Pellegrin through the mailing address at 1115 WEBER ST, FRANKLIN, LA - 70538-4124 (mailing address contact number: 337-828-2550).

Location: 1014 W Tunnel Blvd, Houma, LA, 70538-4124
person
Provider Profile Details
NPI Number
1134160815
Provider Name
Timothy J Pellegrin
Credential
PMHNP-BC
Provider Entity Type
Individual
Gender
Male
Address
1014 W Tunnel Blvd, Houma, LA, 70538-4124
Phone Number
985-851-1717
Fax Number
985-868-3839
Provider Enumeration Date
06/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4C669 01 LA MEDICARE NUMBER
1152919 05 LA
568555 01 LA MEDICARE
institution
Provider Business Practice Location Address Details
Address
1014 W Tunnel Blvd
City
State
Zip
70360-4050
Phone Number
985-851-1717
Fax Number
985-868-3839
person
Provider Business Mailing Address Details
Address
1115 Weber St
City
State
Zip
70538-4124
Phone Number
337-828-2550
Fax Number
337-355-2335
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
APO4222 (Louisiana)
Definition
Definition to come...
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