Healthcare Provider Details

I. General information

NPI: 1336102680
Provider Name (Legal Business Name): CLAUDE MARTIN BEGNAUD JR. APRN, NNP-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/08/2006
Last Update Date: 10/12/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4600 AMBASSADOR CAFFERY PKWY
LAFAYETTE LA
70508-6902
US

IV. Provider business mailing address

3081 MAIN HWY
BREAUX BRIDGE LA
70517-6347
US

V. Phone/Fax

Practice location:
  • Phone: 337-521-9100
  • Fax:
Mailing address:
  • Phone: 337-442-6317
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LN0000X
TaxonomyNeonatal Nurse Practitioner
License NumberAPRN 4235
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: