Individual
MRS. TONYELL LEBEAU WOODRIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
6521 AIRLINE DR, METAIRIE, LA 70003-5113
(504) 500-1473
Mailing address
40435 AUGUSTIN AVE, PRAIRIEVILLE, LA 70769-5868
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP09596
LA
Other
Enumeration date
07/21/2017
Last updated
04/28/2022
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