Individual
TAWANNA CHRETIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
107 BRISTOW BAYOU RD, BROUSSARD, LA 70518-8058
(337) 552-8041
Mailing address
107 BRISTOW BAYOU RD, BROUSSARD, LA 70518-8058
(337) 552-8041
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
30006612
LA
Other
Enumeration date
05/21/2026
Last updated
05/21/2026
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