Individual
PENNY RUSH RODRIGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
604 N ACADIA RD STE 405, THIBODAUX, LA 70301-4897
(985) 446-0874
Mailing address
604 N ACADIA RD STE 405, THIBODAUX, LA 70301-4897
(985) 446-0874
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
214172
LA
Other
Enumeration date
07/14/2020
Last updated
07/14/2020
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