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Mr. Colby Ryan Thibodeaux, FNP
Family Nurse Practitioner in Lake Charles, Louisiana
NPI 1912539115

Colby Ryan Thibodeaux is a Family Nurse Practitioner based in Dallas, LA and is specialized in Family. Colby Ryan Thibodeaux practices in Lake Charles, LA and has the professional credentials of FNP. The NPI Number for Colby Ryan Thibodeaux is 1912539115 and holds a License No. 211814 (Louisiana).

The current practice location address for Colby Ryan Thibodeaux is 4345 Nelson Rd Ste 101, Lake Charles, LA and can be reached out via phone at 337-480-7942 and via fax at 337-480-7964.

Location: 4345 Nelson Rd Ste 101, Lake Charles, LA, 75312-2162
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Provider Profile Details
NPI Number
1912539115
Provider Name
Colby Ryan Thibodeaux
Credential
FNP
Provider Entity Type
Individual
Gender
Male
Address
4345 Nelson Rd Ste 101, Lake Charles, LA, 75312-2162
Phone Number
337-480-7942
Fax Number
337-480-7964
Provider Enumeration Date
02/06/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2571796 05 LA
institution
Provider Business Practice Location Address Details
Address
4345 Nelson Rd Ste 101
City
State
Zip
70605-4183
Phone Number
337-480-7942
Fax Number
337-480-7964
person
Provider Business Mailing Address Details
Address
4345 Nelson Rd Ste 101
City
State
Zip
70605-4183
Phone Number
337-480-7942
Fax Number
337-480-7964
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
211814 (Louisiana)
Definition
Definition to come...
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