Nancy J Bloodworth, NP | |
22080 Highway 20, Vacherie, LA 70090-3618 | |
(225) 265-3061 | |
(225) 265-3062 |
Full Name | Nancy J Bloodworth |
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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 |
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1730885831 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 203054 (Louisiana) | Primary |
Entity Name | Thibodaux Regional Network Development Corporation |
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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 |
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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 |
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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 |