NPI 1629358866

Theresa Frederick Bodker, APRN

Practitioner Clinical Nurse Specialist Lafayette, LA

Practice location

Address: 1211 Coolidge Blvd Suite 100, Lafayette, LA 70503-2636
Phone: (337) 289-8400
Fax: (337) 289-8401
Mailing address: PO Box 62600, New Orleans, LA 70162-2600

Registered specialties

Clinical Nurse Specialist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 364S00000X Licence AP01091 (LA)

Other Clinical Nurse Specialist providers in Louisiana →

Registry record

NPI: 1629358866
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Aug 2011
Record last updated: 18 Apr 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.