Individual
MICHELE RODRIGUE THIBODEAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNNP
Contact information
Practice address
500 RUE DE LA VIE, SUITE 405, BATON ROUGE, LA 70817-5128
(225) 928-2555
(225) 929-9685
Mailing address
3993 HIGHWAY 1, NAPOLEONVILLE, LA 70390-8728
(985) 369-9784
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
RN065691-AP02120
LA
363LN0005X
Critical Care Neonatal Nurse Practitioner
AP02120
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2174703
—
LA
Enumeration date
02/25/2010
Last updated
12/28/2016
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