Individual
CORINNE KAUFFELD ROUGEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5131 ODONOVAN DR, BATON ROUGE, LA 70808-4791
(225) 374-0220
(225) 374-0221
Mailing address
5131 ODONOVAN DR, BATON ROUGE, LA 70808-4791
(225) 374-0220
(225) 374-0221
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP02285
LA
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
AP02285
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1551384
—
LA
Enumeration date
07/29/2005
Last updated
03/27/2017
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