| Audubon Family Medicine Llc | |
|
2301 Moss St Lafayette LA 70501-2125 | |
| (504) 220-5733 | |
| Not Available |
| Full Name | Audubon Family Medicine Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 2301 Moss St, Lafayette, Louisiana |
| Authorized Official Name and Position | Brandi Nunez Washington (FAMILY NURSE PRACTITIONER) |
| Authorized Official Contact | 5042205733 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Audubon Family Medicine Llc 11268 Waverly Dr New Orleans LA 70128-3417 Ph: (504) 220-5733 | Audubon Family Medicine Llc 2301 Moss St Lafayette LA 70501-2125 Ph: (504) 220-5733 |
| NPI Number | 1568060135 |
|---|---|
| Provider Enumeration Date | 10/15/2020 |
| Last Update Date | 10/15/2020 |
| Medicare PECOS PAC ID | 0446661441 |
|---|---|
| Medicare Enrollment ID | O20201124000158 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568060135 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Brandi N Washington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831613553 PECOS PAC ID: 7911250089 Enrollment ID: I20181019002089 |
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