MEDICARE: MS. RENEE CARMOUCHE TREWELLA FNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	247270	LA
2	163W00000X	Registered Nurse	RN160692	LA

General Provider Information

NPI Number	:	1457297723
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. RENEE CARMOUCHE TREWELLA FNP

Provider Business Mailing Address
First Line	:	10135 MONTRACHET DR
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70817-7482
Country	:	US
Telephone Number	:	225-337-2789
Fax Number	:

Provider Business Practice Location Address
First Line	:	10135 MONTRACHET DR
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70817-7482
Country	:	US
Telephone Number	:	225-337-2789
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/28/2026
Last Update Date	:	06/03/2026

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