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NPI Code Detail

MEDICARE: MRS. CORTINA JOSEPH-THOMAS

MEDICARE: MRS. CORTINA JOSEPH-THOMAS
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
1363LF0000XFamily Nurse Practitioner229512LA

General Provider Information

NPI Number : 1356034904
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CORTINA JOSEPH-THOMAS
Provider Business Mailing Address
First Line : 441 HEYMANN BLVD
Second Line :
City : LAFAYETTE
State : LA
Zip : 70503-2611
Country : US
Telephone Number : 337-289-8429
Fax Number : 337-289-8431
Provider Business Practice Location Address
First Line : 441 HEYMANN BLVD
Second Line :
City : LAFAYETTE
State : LA
Zip : 70503-2611
Country : US
Telephone Number : 337-289-8429
Fax Number : 337-289-8431
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/30/2023
Last Update Date : 03/04/2026

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Directions to “ MRS. CORTINA JOSEPH-THOMAS ” Practice Location

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