| Stephanie C. Badon, Pmhnp-bc | |
|
814 Fortune Rd Ste 108 Youngsville LA 70592-5542 | |
| (337) 573-4132 | |
| (337) 573-4161 |
| Full Name | Stephanie C. Badon, Pmhnp-bc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 814 Fortune Rd Ste 108, Youngsville, Louisiana |
| Authorized Official Name and Position | Stephanie C Badon (PSYCHIATRIC NURSE PRACTITIONER) |
| Authorized Official Contact | 3376089922 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephanie C. Badon, Pmhnp-bc 907 Loreauville Rd New Iberia LA 70563-2025 Ph: (337) 380-6773 | Stephanie C. Badon, Pmhnp-bc 814 Fortune Rd Ste 108 Youngsville LA 70592-5542 Ph: (337) 573-4132 |
| NPI Number | 1194484402 |
|---|---|
| Provider Enumeration Date | 12/14/2021 |
| Last Update Date | 09/22/2022 |
| Certification Date | 09/22/2022 |
| Medicare PECOS PAC ID | 2567855877 |
|---|---|
| Medicare Enrollment ID | O20220209002239 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194484402 | NPI | - | NPPES |
| Provider Name | Stephanie C Badon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649936956 PECOS PAC ID: 4385037696 Enrollment ID: I20220209002403 |
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