Nicholas S Fuglaar, FNP-C
Nurse Practitioner, Family in Thibodaux, LA. Individual provider (NPI-1).
NPI number1043854086
StatusActive
Last updated in NPPESJan 11, 2020
Details
- NPI
- 1043854086
- Entity type
- Individual (NPI-1)
- Name
- Nicholas S Fuglaar
- Credential
- FNP-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 2, 2019
- Certification date
- Jan 11, 2020
- Last updated
- Jan 11, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 210931 | LA | Yes |
Practice location
2031 Audubon AveThibodaux, LA 70301-5073
Phone 985-803-8383
Mailing address
2031 Audubon AveThibodaux, LA 70301-5073
Phone 985-803-8383 · Fax 985-227-9034
Other practice locations
1411 Saint Charles St
Houma, LA 70360-3964
Houma, LA 70360-3964
Phone 985-709-0136
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