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Individual

MACI BREAUX PETITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
X
Credential
APRN, FNP-C

Contact information

Practice address
16777 MEDICAL CENTER DR, BATON ROUGE, LA 70816-3254
(225) 761-5200
Mailing address
16777 MEDICAL CENTER DR, BATON ROUGE, LA 70816-3254

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201945
LA

Other

Enumeration date
07/15/2025
Last updated
07/15/2025
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