NICOLE D PROSPERIE

THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION

Dr NICOLE D PROSPERIE is a female medical professional, specializing in Obstetrics/gynecology. She graduated in 2007.

Contact

THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION

114 HWY 403
PAINCOURTVILLE
LA
703910300

Tel: 9854481216

NICOLE D PROSPERIE Information

Npi 1225229552
Pac Id 0143499384
Professional Enrollment Id I20110804000571
Last Name PROSPERIE
First Name NICOLE
Middle Name D
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2007
Primary Specialty OBSTETRICS/GYNECOLOGY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION
Group Practice Pac Id 8224011754
Number Of Group Practice Members 71
Line 1 Street Address 114 HWY 403
Line 2 Street Address
Marker Of Address Line 2 Suppression
City PAINCOURTVILLE
State LA
Zip Code 703910300
Phone Number 9854481216
Hospital Affiliation Ccn 1 190004
Hospital Affiliation Lbn 1 THIBODAUX REGIONAL MEDICAL CENTER
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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