Healthcare Provider Details

I. General information

NPI: 1457297723
Provider Name (Legal Business Name): RENEE CARMOUCHE TREWELLA FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/28/2026
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10135 MONTRACHET DR
BATON ROUGE LA
70817-7482
US

IV. Provider business mailing address

10135 MONTRACHET DR
BATON ROUGE LA
70817-7482
US

V. Phone/Fax

Practice location:
  • Phone: 225-337-2789
  • Fax:
Mailing address:
  • Phone: 225-337-2789
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number247270
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN160692
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: