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NPI Code Detail

MEDICARE: THRESA CAUGHMAN WHNP-BC

MEDICARE:   THRESA  CAUGHMAN  WHNP-BC
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
1363LW0102XWomen's Health Nurse PractitionerAP10091LA

General Provider Information

NPI Number : 1255826897
Entity Type Code : Individual
Provider Name (Legal Business Name) : THRESA CAUGHMAN WHNP-BC
Provider Business Mailing Address
First Line : 2449 HOSPITAL DR STE 260
Second Line :
City : BOSSIER CITY
State : LA
Zip : 71111-1909
Country : US
Telephone Number : 318-212-7840
Fax Number : 318-212-7845
Provider Business Practice Location Address
First Line : 2449 HOSPITAL DR STE 260
Second Line :
City : BOSSIER CITY
State : LA
Zip : 71111-1909
Country : US
Telephone Number : 318-212-7840
Fax Number : 318-212-7845
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/26/2018
Last Update Date : 02/11/2025

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Directions to “ THRESA CAUGHMAN WHNP-BC” Practice Location

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