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Individual

MICHELLE B BREAUX

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN105312 AP04932
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1015695
LA
Enumeration date
06/21/2007
Last updated
01/21/2021
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