Provider Demographics
NPI:1033881610
Name:BRIGNAC, SARAH CROWTON (MS, RD, LDN)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:CROWTON
Last Name:BRIGNAC
Suffix:
Gender:F
Credentials:MS, RD, LDN
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:ELIZABETH
Other - Last Name:CROWTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, RD, LDN
Mailing Address - Street 1:8072 BEDICO TRAIL LANE
Mailing Address - Street 2:
Mailing Address - City:MADISONVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70447
Mailing Address - Country:US
Mailing Address - Phone:985-237-3348
Mailing Address - Fax:
Practice Address - Street 1:900 OCHSNER BLVD
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:LA
Practice Address - Zip Code:70433-8275
Practice Address - Country:US
Practice Address - Phone:985-338-5067
Practice Address - Fax:985-338-5127
Is Sole Proprietor?:No
Enumeration Date:2021-10-01
Last Update Date:2022-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
133V00000X
LA2874133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered