Individual
TERESA M MARGAGLIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1555 GARY DR STE C, BREAUX BRIDGE, LA 70517-3448
(337) 332-0222
Mailing address
315 STEINER RD, LAFAYETTE, LA 70508-6005
(337) 984-7403
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
29626-1197
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1671002
—
LA
Enumeration date
03/16/2007
Last updated
11/30/2012
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