Nicole Orgeron Bourgeois in Thibodaux - Physician Assistant

Nicole Orgeron Bourgeois - NPI 1982796991

Nicole Orgeron Bourgeois is a Physician Assistant in Thibodaux, Louisiana. Nicole Orgeron Bourgeois practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Nicole Orgeron Bourgeois is 1982796991. The last update date is 2018-07-05.

Nicole Orgeron Bourgeois's current location address is 525 Saint Mary St, Thibodaux, Louisiana. You can contact this provider via phone number 9854466284 and fax number 9854471754. The mailing address for Nicole Orgeron Bourgeois is 525 Saint Mary St, Thibodaux, Louisiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Nicole Orgeron Bourgeois
Address 525 Saint Mary St, Thibodaux, Louisiana
Phone Number 9854466284
Fax Number 9854471754
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1982796991
Provider Enumeration Date 2006-09-28
Last Updated Date 2018-07-05

Provider Mailing Address Detail

Address 525 Saint Mary St
City Thibodaux
State Louisiana (LA)
Post Code 703012627
Phone Number 9854466284
Fax Number 9854471754

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No TP507
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
P00395268 LA RAILROAD MEDICARE

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FAQs about Nicole Orgeron Bourgeois

What is the Nicole Orgeron Bourgeois's unique identification number?

The Nicole Orgeron Bourgeois has been assigned the NPI (National Provider Identifier) Number 1982796991 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Can you provide the Nicole Orgeron Bourgeois's physical address?

The Nicole Orgeron Bourgeois is physically located at 525 Saint Mary St, in the city of Thibodaux, LA, with the postal code 703012627.

What is Nicole Orgeron Bourgeois's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Nicole Orgeron Bourgeois is Physician Assistant, and the taxonomy code that categorizes this field of expertise is 363A00000X.

On what date did the Nicole Orgeron Bourgeois receive its 1982796991 assignment from the Centers for Medicare & Medicaid Services?

The Nicole Orgeron Bourgeois was assigned its 1982796991 by the Centers for Medicare & Medicaid Services on 2006-09-28.

As of what date were the Nicole Orgeron Bourgeois's details last updated?

The information pertaining to the Nicole Orgeron Bourgeois, including its address, specialty, and other details, was most recently updated on 2018-07-05.

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