Individual
MRS. ANGELA MAE THIBODEAUX-GOINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C-FNP
Contact information
Practice address
10818 HIGHWAY 190, OPELOUSAS, LA 70570-2673
(337) 443-7400
(855) 840-8050
Mailing address
10818 HIGHWAY 190, OPELOUSAS, LA 70570-2673
(337) 443-7400
(855) 840-8050
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP03450
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP03450
ADVANCED PRACTICE R.N.
LA
01
—
RN061177
STATE BOARD OF NURSING
LA
Enumeration date
10/19/2006
Last updated
02/25/2022
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