Provider Demographics
NPI:1083056550
Name:COMEAUX, TRESSA (APRN, FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:TRESSA
Middle Name:
Last Name:COMEAUX
Suffix:
Gender:F
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:TRESSA
Other - Middle Name:
Other - Last Name:GREENE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:17321 LAKE AZALEA DR
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70817-9513
Mailing Address - Country:US
Mailing Address - Phone:225-362-4596
Mailing Address - Fax:
Practice Address - Street 1:3233 S SHERWOOD FOREST BLVD
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70816-2250
Practice Address - Country:US
Practice Address - Phone:225-291-8740
Practice Address - Fax:225-490-4237
Is Sole Proprietor?:No
Enumeration Date:2013-07-24
Last Update Date:2013-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP07256363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily