Buras, Elizabeth Thibodeaux

Buras, Elizabeth Thibodeaux is an individual health care provider with primary practice located at 22070 Highway 59 , Abita Springs LA 70420-3606. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Buras, Elizabeth Thibodeaux can be contacted via phone (985) 875-2379.

Contact Information

Primary practice address
22070 Highway 59 Abita Springs LA 70420-3606
Phone: (985) 875-2379
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP06098 Louisiana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN107286 Louisiana

Profile Details

NPI number 1104149731
LBN Legal business name Buras, Elizabeth Thibodeaux
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2010
Last updated Oct 8th, 2010 - about 15 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 1104149731 NPPES
Louisiana MEDICAID 2109219
Louisiana MEDICAID 01776292

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