Individual
NANCY T FAUCHEAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
8120 MAIN ST STE 301, HOUMA, LA 70360-3403
(985) 850-6653
(985) 872-1420
Mailing address
8120 MAIN ST, STE 301, HOUMA, LA 70360-3403
(985) 873-2961
(985) 873-9074
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP03591
LA
363L00000X
Nurse Practitioner
RN078437
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1569534
—
LA
Enumeration date
12/07/2005
Last updated
08/23/2019
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