Individual
BREIGH NICOLE PEYTAVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
602 N ACADIA RD, THIBODAUX, LA 70301-4823
(985) 447-5500
Mailing address
1885 FELICITY CT, LUTCHER, LA 70071-5616
(225) 202-8031
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
348183
LA
Other
Enumeration date
08/18/2025
Last updated
08/18/2025
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