Individual
MRS. KRISTEN CANNON GODEAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4650 AMBASSADOR CAFFERY PKWY STE 101, LAFAYETTE, LA 70508-6926
(337) 470-7870
(337) 470-7879
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(337) 470-7870
(225) 765-9196
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
206366
LA
Other
Enumeration date
10/03/2019
Last updated
02/07/2024
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