MEDICARE: MRS. RASHONEE RAVAE LAVERGNE FNP

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	363LF0000X	Family Nurse Practitioner	213645	LA
2	363L00000X	Nurse Practitioner	213645	LA

General Provider Information

NPI Number	:	1912521915
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. RASHONEE RAVAE LAVERGNE FNP

Provider Business Mailing Address
First Line	:	200 CORPORATE BLVD
Second Line	:
City	:	LAFAYETTE
State	:	LA
Zip	:	70508-3870
Country	:	US
Telephone Number	:	800-893-9698
Fax Number	:

Provider Business Practice Location Address
First Line	:	1012 PETROLEUM PKWY
Second Line	:
City	:	BROUSSARD
State	:	LA
Zip	:	70518-8020
Country	:	US
Telephone Number	:	337-465-4600
Fax Number	:

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

Provider Enumeration Date	:	06/04/2020
Last Update Date	:	03/27/2026

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