Individual
SCOTT PAUL BELLANGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, APRN, PMHNP-BC
Contact information
Practice address
1101 AUDUBON AVE, THIBODAUX, LA 70301-4957
(985) 492-6170
Mailing address
105 AVERY ST, LULING, LA 70070-2181
(985) 856-9956
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
231854
LA
Other
Enumeration date
09/13/2021
Last updated
09/14/2023
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