Individual
NICHOLAS S FUGLAAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
2031 AUDUBON AVE, THIBODAUX, LA 70301-5073
(985) 803-8383
Mailing address
2031 AUDUBON AVE, THIBODAUX, LA 70301-5073
(985) 803-8383
(985) 227-9034
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
210931
LA
Other
Enumeration date
11/02/2019
Last updated
01/11/2020
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