Individual
MRS. BRITTANY TROSCLAIR MIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN,FNP-C, PMHNP-BC
Contact information
Practice address
108 EAST 11TH ST., THIBODAUX, LA 70301-4519
(985) 228-6223
(985) 228-6230
Mailing address
213 SAINT MARY ST STE 218, THIBODAUX, LA 70301-2634
(985) 228-6223
(985) 228-6230
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
AP09107
LA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP09107
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2438719
—
LA
Enumeration date
01/10/2017
Last updated
07/03/2024
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