Individual
CATHERINE SPEARS FANGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
142 RUE MARGUERITE, THIBODAUX, LA 70301-6738
(985) 446-2131
(985) 447-3383
Mailing address
142 RUE MARGUERITE, THIBODAUX, LA 70301-6738
(985) 446-2131
(985) 447-3383
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP05750
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1806862
—
LA
Enumeration date
03/23/2009
Last updated
10/07/2011
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