Braylin Breaux

Individual provider Active NPI Case Manager/Care Coordinator · Crowley, LA

NPI 1639615222 · NPPES record last updated Jan 6, 2017

Key facts

NPI
1639615222
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
19157 Crowley Eunice Hwy
Crowley, LA 70526-0801
Phone
(337) 514-2101
Fax
(337) 514-2105
NPI assigned
Jan 6, 2017
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

19157 Crowley Eunice Hwy
Crowley, LA 70526-0801

Mailing address

19157 Crowley Eunice Hwy
Crowley, LA 70526-0801
Phone (337) 514-2101

Other providers in Crowley, LA

All providers in Crowley, LA · Case Manager/Care Coordinator in Louisiana

Sources for this page

Verify at the official NPI Registry.