Provider Demographics
NPI:1821888454
Name:DRUILHET, TRACI VINCENT (MA, CC)
Entity type:Individual
Prefix:MRS
First Name:TRACI
Middle Name:VINCENT
Last Name:DRUILHET
Suffix:
Gender:
Credentials:MA, CC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2754 BRANDYWINE DR
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70808-3409
Mailing Address - Country:US
Mailing Address - Phone:225-773-8047
Mailing Address - Fax:
Practice Address - Street 1:2754 BRANDYWINE DR
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70808-3409
Practice Address - Country:US
Practice Address - Phone:225-773-8047
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-07
Last Update Date:2025-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education
No133N00000XDietary & Nutritional Service ProvidersNutritionist
No171400000XOther Service ProvidersHealth & Wellness Coach
No174200000XOther Service ProvidersMeals
No332U00000XSuppliersHome Delivered Meals
No335G00000XSuppliersMedical Foods Supplier