Individual
TONI W. ROUSSEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
10771 PERKINS RD, BATON ROUGE, LA 70810-1693
(225) 256-1634
(225) 384-5402
Mailing address
720 LEFORT BYPASS RD, THIBODAUX, LA 70301-6133
(985) 257-0592
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP04744
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1725251
—
LA
Enumeration date
07/11/2006
Last updated
04/23/2020
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