Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
THERESA TARVER BACON, RN
ActiveTHERESA TARVER BACON, RN is a Substance Abuse Psychiatric Nurse healthcare provider located in WEST MONROE, Louisiana. NPI 1124351614 is currently active in the NPPES registry. Verify at CMS.
Substance Abuse Psychiatric Nurse · WEST MONROE, LA
Registration Details
- NPI Number
- 1124351614
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 15, 2009 (16.870985834198 yrs)
- Last Updated
- Sep 15, 2009
- License
-
RN032877 (LA)
Practice Information
- Address
-
1416 NATCHITOCHES STWEST MONROE, LA, 712923751Browse LA providers · Browse ZIP 71292
- Phone
- 3183625430
- Primary Specialty
-
Substance Abuse Psychiatric Nurse
163WP0809X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.