person
Derrick Thibodeaux, NP
Family Nurse Practitioner in Vinton, Louisiana
NPI 1659762839

Derrick Thibodeaux is a Family Nurse Practitioner based in Vinton, LA and is specialized in Family. Derrick Thibodeaux practices in Vinton, LA and has the professional credentials of NP. The NPI Number for Derrick Thibodeaux is 1659762839 and holds a License No. AP08118 (Louisiana).

The current practice location address for Derrick Thibodeaux is 1303 Horridge St, Vinton, LA and can be reached out via phone at 337-324-8060 and via fax at 337-324-8061.

Location: 1303 Horridge St, Vinton, LA, 70668-4531
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Provider Profile Details
NPI Number
1659762839
Provider Name
Derrick Thibodeaux
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
1303 Horridge St, Vinton, LA, 70668-4531
Phone Number
337-324-8060
Fax Number
337-324-8061
Provider Enumeration Date
02/10/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
AP08118 01 LA LOUISIANA STATE BOARD OF NURSING
institution
Provider Business Practice Location Address Details
Address
1303 Horridge St
City
State
Zip
70668-4531
Phone Number
337-324-8060
Fax Number
337-324-8061
person
Provider Business Mailing Address Details
Address
1303 Horridge St
City
State
Zip
70668-4531
Phone Number
337-324-8060
Fax Number
337-324-8061
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
AP08118 (Louisiana)
Definition
Definition to come...
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