| Brandie Marie Ponder, NURSE PRACTITIONER | |
|
2535 Veterans Blvd, Thibodaux, LA 70301-4363 | |
| (985) 447-0921 | |
| (985) 447-0857 |
| Full Name | Brandie Marie Ponder |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Adult Health |
| Location | 2535 Veterans Blvd, Thibodaux, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588856918 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | AP05138 (Louisiana) | Primary |
| Entity Name | Louisiana Department Of Health - Office Of Public Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144372343 PECOS PAC ID: 5890700694 Enrollment ID: O20140815000393 |
| Mailing Address | Practice Location Address |
|---|---|
| Brandie Marie Ponder, NURSE PRACTITIONER 208 Acadia Woods Dr, Thibodaux, LA 70301-5624 Ph: (337) 256-1311 | Brandie Marie Ponder, NURSE PRACTITIONER 2535 Veterans Blvd, Thibodaux, LA 70301-4363 Ph: (985) 447-0921 |
Rebecca Ann Melancon, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 602 N Acadia Rd, Thibodaux, LA 70301 Phone: 985-447-5500 | |
Mrs. Emily Rivet Landry, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1320 Martin Luther King Dr, Thibodaux, LA 70301 Phone: 985-446-2021 Fax: 985-446-1546 | |
Candice Eschete, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 602 N Acadia Rd, Thibodaux, LA 70301 Phone: 985-493-4727 | |
Caroline Hebert, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 400 N Acadia Rd, Thibodaux, LA 70301 Phone: 985-493-4004 | |
Champ Phuphanich, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 305 E 1st St, Thibodaux, LA 70301 Phone: 985-228-6028 | |
Ashley Ann Dufrene, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 126 Rue Colette, Thibodaux, LA 70301 Phone: 985-625-0023 | |
Nicholas S Fuglaar, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2031 Audubon Ave, Thibodaux, LA 70301 Phone: 985-803-8383 |