Most Relevant Information
Provider Data
| NPI Number: | 1003595844 |
| Provider Name: | KATELYN THIBODEAUX |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | RN160801 |
Most Important Dates
| Enumeration Date: | 07/17/2023 |
| Last Updated: | 02/22/2024 |
Provider Practice Location
5220 ESSEN LN
BATON ROUGE
LA
708093542
Practice Location Phone/Fax
| Phone: | 3378021931 |
| Fax: |
Provider Mailing Location
1214 COOLIDGE BLVD
LAFAYETTE
LA
705032621
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |