Individual provider · NPI-1

Chanda Danielle Babineaux

Nurse Practitioner · Opelousas, LA

NPI number1831960475
StatusActive
Last updated in NPPESFeb 2, 2024

Details

NPI
1831960475
Entity type
Individual (NPI-1)
Name
Chanda Danielle Babineaux
Sex
Female
Sole proprietor
No
Enumeration date
Jan 11, 2024
Certification date
Feb 2, 2024
Last updated
Feb 2, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse Practitioner234117LAYes
207Q00000X Family Medicine234117LA

Practice location

828 Creswell Ln
Opelousas, LA 70570-5882

Phone 337-942-1802

Mailing address

501 Walter Dr
Lafayette, LA 70507-2462

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