MEDICARE: DR. MEGAN RABALAIS NUSS MD

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
1	208000000X	Pediatrics Physician	309132	LA
2	208000000X	Pediatrics Physician	325165	LA

General Provider Information

NPI Number	:	1336632728
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MEGAN RABALAIS NUSS MD

Provider Business Mailing Address
First Line	:	5959 S SHERWOOD FOREST BLVD
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70816-6038
Country	:	US
Telephone Number	:	225-493-4372
Fax Number	:	225-765-9196

Provider Business Practice Location Address
First Line	:	8415 GOODWOOD BLVD STE 202
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70806-7851
Country	:	US
Telephone Number	:	225-765-8013
Fax Number	:	225-765-2033

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/11/2018
Last Update Date	:	02/05/2026

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