Individual
TARA BAQUET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1431 FUSELIER AVE, BASILE, LA 70515-5583
(337) 432-0200
(337) 432-0202
Mailing address
1431 FUSELIER AVE, BASILE, LA 70515-5583
(337) 432-0200
(337) 432-0202
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
089987
LA
363LF0000X
Family Nurse Practitioner
Primary
APO7362
LA
Other
Enumeration date
06/11/2013
Last updated
09/10/2019
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