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NPI Code Detail

MEDICARE: SAMANTHA TIBLIER NP

MEDICARE: SAMANTHA TIBLIER NP
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
1363LF0000XFamily Nurse PractitionerAP08630LA
2163W00000XRegistered NurseRN134230LA

General Provider Information

NPI Number : 1992162515
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAMANTHA TIBLIER NP
Provider Business Mailing Address
First Line : 7777 HENNESSY BLVD STE 1008
Second Line :
City : BATON ROUGE
State : LA
Zip : 70808-4368
Country : US
Telephone Number : 225-766-0416
Fax Number :
Provider Business Practice Location Address
First Line : 7777 HENNESSY BLVD STE 1008
Second Line :
City : BATON ROUGE
State : LA
Zip : 70808-4368
Country : US
Telephone Number : 225-766-0416
Fax Number : 225-769-9212
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/27/2016
Last Update Date : 03/03/2025

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Directions to “ SAMANTHA TIBLIER NP” Practice Location

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