Individual
KAYLA BERGEAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
110 W FIRST ST, SUITE A, DUSON, LA 70529
(337) 873-8244
(337) 873-8274
Mailing address
9023 CAMERON STREET, PO BOX, DUSON, LA 70529-6831
(337) 873-8244
(337) 873-8274
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
204719
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
204719
NP LICENCE NUMBER
LA
Enumeration date
04/25/2019
Last updated
09/21/2020
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