Provider Demographics
NPI:1558973990
Name:BROWN-AUZENNE, TERRIA DENISE (FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:TERRIA
Middle Name:DENISE
Last Name:BROWN-AUZENNE
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1704 LAWRENCE ST
Mailing Address - Street 2:
Mailing Address - City:OPELOUSAS
Mailing Address - State:LA
Mailing Address - Zip Code:70570-1667
Mailing Address - Country:US
Mailing Address - Phone:337-945-6095
Mailing Address - Fax:
Practice Address - Street 1:106 OIL CENTER DR STE 104B
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70503-2482
Practice Address - Country:US
Practice Address - Phone:337-549-5800
Practice Address - Fax:877-515-1665
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-18
Last Update Date:2024-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA206612363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily