Breaux, Michelle B

Breaux, Michelle B is an individual health care provider with primary practice located at 8415 Goodwood Blvd Suite 100, Baton Rouge LA 70806-7851. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Breaux, Michelle B can be contacted via phone (225) 765-5633.

Contact Information

Primary practice address
8415 Goodwood Blvd Suite 100 Baton Rouge LA 70806-7851
Phone: (225) 765-5633
Fax: (225) 765-5634
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X RN105312 AP04932 Louisiana

Profile Details

NPI number 1689870263
LBN Legal business name Breaux, Michelle B
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2007
Last updated Jan 21st, 2021 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1689870263 NPPES
Louisiana MEDICAID 1015695

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