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NPI Profile for SHANNON BAUDOUIN in RIVER RIDGE, LA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner |
| NPI # | 1972053197 |
|
| Status | Active | |
| Credentials | FNP (Family Nurse Practitioner) | |
| Entity | Individual | |
| Enumeration date | 10/12/2016 | |
| Last updated | 11/15/2021 - About 5 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
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| Hospital affiliation(s) |
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SHANNON BAUDOUIN
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SHANNON BAUDOUIN, FNP