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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BRANDIE MARIE PONDER, NURSE PRACTITIONER

Active

BRANDIE MARIE PONDER, NURSE PRACTITIONER is a Adult Health Nurse Practitioner healthcare provider located in THIBODAUX, Louisiana. NPI 1588856918 is currently active in the NPPES registry. Verify at CMS.

Adult Health Nurse Practitioner · THIBODAUX, LA

Registration Details

NPI Number
1588856918
Provider Type
Individual
Gender
Female
NPI Issued
Aug 9, 2007 (19.008813438956 yrs)
Last Updated
Mar 17, 2018
License
AP05138 (LA)

Practice Information

Address
2535 VETERANS BLVD
THIBODAUX, LA, 703014363
Browse LA providers · Browse ZIP 70301
Phone
9854470921
Fax
9854470857
Primary Specialty
Adult Health Nurse Practitioner
363LA2200X
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.