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NPI Code Detail

MEDICARE: MRS. BRIEANNE BOURGEOIS HYMEL PA

MEDICARE:  MRS. BRIEANNE BOURGEOIS HYMEL  PA
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
1363AM0700XMedical Physician Assistant

General Provider Information

NPI Number : 1588388474
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. BRIEANNE BOURGEOIS HYMEL PA
Provider Business Mailing Address
First Line : PO BOX 628
Second Line :
City : SORRENTO
State : LA
Zip : 70778-0628
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 123 LEE DR
Second Line :
City : BATON ROUGE
State : LA
Zip : 70808-4954
Country : US
Telephone Number : 225-302-5757
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2022
Last Update Date : 12/04/2025

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Directions to “ MRS. BRIEANNE BOURGEOIS HYMEL PA” Practice Location

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