Moron, Mary Triche

Moron, Mary Triche is an individual health care provider with primary practice located at 1002 12Th St , Lafayette LA 70501-6224. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Moron, Mary Triche can be contacted via phone (337) 534-0107.

Contact Information

Primary practice address
1002 12Th St Lafayette LA 70501-6224
Phone: (337) 534-0107
Fax: (337) 534-0184
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X AP03778 Louisiana

Profile Details

NPI number 1659598795
LBN Legal business name Moron, Mary Triche
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2007
Last updated Oct 22nd, 2019 - about 6 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 1659598795 NPPES
Louisiana MEDICAID 1140082

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