Provider Demographics
NPI:1790086445
Name:MEAUX, MARGUERITE L (APRN)
Entity Type:Individual
Prefix:MS
First Name:MARGUERITE
Middle Name:L
Last Name:MEAUX
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:275 LOG CABIN LN
Mailing Address - Street 2:
Mailing Address - City:LONGVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70652-4222
Mailing Address - Country:US
Mailing Address - Phone:337-725-6387
Mailing Address - Fax:
Practice Address - Street 1:275 LOG CABIN LN
Practice Address - Street 2:
Practice Address - City:LONGVILLE
Practice Address - State:LA
Practice Address - Zip Code:70652-4222
Practice Address - Country:US
Practice Address - Phone:337-725-6387
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-11
Last Update Date:2010-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAPO2536163WN1003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WN1003XNursing Service ProvidersRegistered NurseNutrition Support