Individual
REBECCA M BREAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1709 RIDGEFIELD RD, THIBODAUX, LA 70301-4333
(985) 446-7341
(985) 446-3773
Mailing address
1115 WEBER ST, FRANKLIN, LA 70538-4124
(337) 828-2550
(337) 355-2333
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP07485
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2349546
—
LA
Enumeration date
10/02/2013
Last updated
02/22/2019
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