| Nancy J Bloodworth, NP | |
|
22080 Highway 20, Vacherie, LA 70090-3618 | |
| (225) 265-3061 | |
| (225) 265-3062 |
| Full Name | Nancy J Bloodworth |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 22080 Highway 20, Vacherie, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730885831 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 203054 (Louisiana) | Primary |
| Entity Name | Thibodaux Regional Network Development Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285658310 PECOS PAC ID: 8224011754 Enrollment ID: O20040608000132 |
| Entity Name | St Joseph Medical Clinic A Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255348843 PECOS PAC ID: 9335189109 Enrollment ID: O20050921000039 |
| Mailing Address | Practice Location Address |
|---|---|
| Nancy J Bloodworth, NP 9562 W Keri Ln, Westwego, LA 70094-2780 Ph: (985) 210-9241 | Nancy J Bloodworth, NP 22080 Highway 20, Vacherie, LA 70090-3618 Ph: (225) 265-3061 |
Mrs. Denise Louque, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 21420 Highway 20, Vacherie, LA 70090 Phone: 225-265-3013 | |
Kristin Dawn Fortier, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 22080 Hwy 20, Vacherie, LA 70090 Phone: 985-265-3061 | |
Mrs. Francine Louise Waguespack, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 21420 Highway 20, Vacherie, LA 70090 Phone: 225-265-3013 Fax: 225-265-3775 | |
Courtney Alison Becnel, APRN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 22080 Highway 20, Vacherie, LA 70090 Phone: 225-265-3061 | |
Tashika Edward, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 115 Jessie Ln, Vacherie, LA 70090 Phone: 225-623-9370 |