Basic Information
| Provider Information | |||||||||
| NPI: | 1336102680 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BEGNAUD | ||||||||
| FirstName: | CLAUDE | ||||||||
| MiddleName: | MARTIN | ||||||||
| NamePrefix: | |||||||||
| NameSuffix: | JR. | ||||||||
| Credential: | APRN, NNP-C | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3081 MAIN HWY | ||||||||
| Address2: | |||||||||
| City: | BREAUX BRIDGE | ||||||||
| State: | LA | ||||||||
| PostalCode: | 705176347 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3374426317 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 4600 AMBASSADOR CAFFERY PKWY | ||||||||
| Address2: | |||||||||
| City: | LAFAYETTE | ||||||||
| State: | LA | ||||||||
| PostalCode: | 705086902 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3375219100 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/08/2006 | ||||||||
| LastUpdateDate: | 10/12/2011 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LN0000X | APRN 4235 | LA | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Neonatal |
ID Information
| ID | Type | State | Issuer | Description | B24 | 01 | LA | PEDIATRIX PROVIDER | OTHER |