Individual
MRS. MEGAN MCINTOSH BREAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7777 HENNESSY BLVD STE 406, BATON ROUGE, LA 70808-4365
(225) 765-2048
(225) 765-1958
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(225) 765-2048
(225) 765-9196
Taxonomy
Speciality
Code
Description
License number
State
2086S0127X
Trauma Surgery Physician
218590
LA
363LA2100X
Acute Care Nurse Practitioner
Primary
218590
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
218590
STATE LICENSE
LA
Enumeration date
02/07/2021
Last updated
07/01/2024
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