Bodker, Theresa Frederick

Bodker, Theresa Frederick is an individual health care provider with primary practice located at 1211 Coolidge Blvd Suite 100, Lafayette LA 70503-2636. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist, which is considered as her primary health care specialty. Bodker, Theresa Frederick can be contacted via phone (337) 289-8400.

Contact Information

Primary practice address
1211 Coolidge Blvd Suite 100 Lafayette LA 70503-2636
Phone: (337) 289-8400
Fax: (337) 289-8401
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist 364S00000X AP01091 Louisiana

Profile Details

NPI number 1629358866
LBN Legal business name Bodker, Theresa Frederick
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2011
Last updated Apr 18th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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