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Contact Information

THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION
604 N ACADIA RD STE 100
THIBODAUX, LA70301-4897
 Phone: 985-447-9045
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Adolescent Medicine

2080A0000X 37 Physician/Pediatric Medicine
 

Adolescent Medicine

207QA0000X 08 Physician/Family Practice
 

Family

363LF0000X 50 Nurse Practitioner
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Pediatrics

363LP0200X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION · (Female)

NPI Number 1447854294
Status Active
Credentials
Entity Individual
Enumeration date 11/23/2020
Last updated 03/06/2025 - More than a year ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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