Individual
MELISSA MELANCON BASCLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-C
Contact information
Practice address
604 N. ACADIA STE 101, THIBODAUX, LA 70301-4897
(985) 446-5079
(985) 447-2497
Mailing address
604 NORTH ACADIA STE 101, THIBODAUX, LA 70301-4897
(985) 446-5079
(985) 447-2497
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP08313
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2403216
—
LA
Enumeration date
08/20/2015
Last updated
04/24/2024
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