Individual
KATELYN THIBODEAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5220 ESSEN LN, BATON ROUGE, LA 70809-3542
(337) 802-1931
Mailing address
1214 COOLIDGE BLVD, LAFAYETTE, LA 70503-2621
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN160801
LA
367500000X
Certified Registered Nurse Anesthetist
Primary
234182
LA
Other
Enumeration date
07/17/2023
Last updated
02/22/2024
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