Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARY BREAUX RODRIGUE, PA
ActiveMARY BREAUX RODRIGUE, PA is a Physician Assistant healthcare provider located in RACELAND, Louisiana. NPI 1770917122 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · RACELAND, LA
Registration Details
- NPI Number
- 1770917122
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 21, 2013 (12.99379958381 yrs)
- Last Updated
- May 20, 2016
- License
-
PA.200629 (LA)
Practice Information
- Address
-
4912 HIGHWAY 1RACELAND, LA, 703942559Browse LA providers · Browse ZIP 70394
- Phone
- 9855322387
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in RACELAND, LA
| Name | Credential | NPI |
|---|---|---|
| ADELE ELISE BROUSSARD | PA-C | 1972118842 |
| CARSYN WALLOW | — | 1780470641 |
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.