Codie C Brian, RN

Individual provider Active NPI Registered Nurse · Slaughter, LA

NPI 1528624020 · NPPES record last updated May 10, 2019

Key facts

NPI
1528624020
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
RN134265 (LA)
Practice address
3170 Church St
Slaughter, LA 70777
Phone
(225) 683-1370
Fax
(225) 683-1379
NPI assigned
May 10, 2019
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)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN134265LAMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN134265 LA Yes

Addresses

Primary practice location

3170 Church St
Slaughter, LA 70777

Mailing address

PO Box 395
Clinton, LA 70722-0395
Phone (225) 683-5292

Other identifiers

IdentifierTypeStateIssuer
RN134265OtherLARN LICENSE

Other providers in Slaughter, LA

All providers in Slaughter, LA · Registered Nurse in Louisiana

Sources for this page

Verify at the official NPI Registry.