Healthcare Provider Details

I. General information

NPI: 1629996764
Provider Name (Legal Business Name): BRITTE MECHE CST/CSFA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2026
Last Update Date: 07/07/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 E. BLUEBIRD DR
LAFAYETTE LA
70508
US

IV. Provider business mailing address

108 RUE LOUIS XIV
LAFAYETTE LA
70508-5739
US

V. Phone/Fax

Practice location:
  • Phone: 337-889-3001
  • Fax: 337-889-3002
Mailing address:
  • Phone: 337-235-8008
  • Fax: 337-235-8008

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246ZC0007X
TaxonomySurgical Assistant
License Number188496
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code246ZS0410X
TaxonomySurgical Technologist
License Number188496
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: