Diane Marie Badeaux, APRN, NP,CNS, BC
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Galliano, LA
NPI 1003961830 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1003961830
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- RN033751-AP02182 (LA)
- Practice address
- 127 East 123 Rd Street
Galliano, LA 70354 - Phone
- (985) 632-2175
- Fax
- (985) 632-8651
- NPI assigned
- Jan 24, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Specialist, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN033751-AP02182 | LA | MD | Psychiatric/Mental Health Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | RN033751-AP02182 | LA | Yes |
Addresses
Primary practice location
127 East 123 Rd Street
Galliano, LA 70354
Mailing address
420 Hwy 653
Raceland, LA 70394
Phone (985) 537-6675
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1435091 | Medicaid | LA |
Other providers in Galliano, LA
- Kaleb David Adams
- Jessica Thiac Aucoin
- John Ray Bilello
- Simone Bishop
- Roger James Blanchard Jr.
- Mitzi R. Brunet
- Chase Michael Cheramie
All providers in Galliano, LA · Psychiatric/Mental Health Nurse Practitioner in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.