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NPI Code Detail

MEDICARE: COURTNEY TRAHAN LEBLANC RN, CPN

MEDICARE: COURTNEY TRAHAN LEBLANC RN, CPN
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
1163W00000XRegistered Nurse210192LA

General Provider Information

NPI Number : 1053252031
Entity Type Code : Individual
Provider Name (Legal Business Name) : COURTNEY TRAHAN LEBLANC RN, CPN
Provider Business Mailing Address
First Line : 1 SAINT MARY PL
Second Line :
City : SHREVEPORT
State : LA
Zip : 71101-4307
Country : US
Telephone Number : 337-654-3075
Fax Number :
Provider Business Practice Location Address
First Line : 1 SAINT MARY PL
Second Line :
City : SHREVEPORT
State : LA
Zip : 71101-4307
Country : US
Telephone Number : 337-654-3075
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/02/2026
Last Update Date : 04/02/2026

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