Provider Demographics
NPI:1083415517
Name:BODET, BRITTANY KNUDSEN (CPNP-AC)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:KNUDSEN
Last Name:BODET
Suffix:
Gender:
Credentials:CPNP-AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:604 CHAMBERTIN DR
Mailing Address - Street 2:
Mailing Address - City:KENNER
Mailing Address - State:LA
Mailing Address - Zip Code:70065-1112
Mailing Address - Country:US
Mailing Address - Phone:504-430-8728
Mailing Address - Fax:
Practice Address - Street 1:604 CHAMBERTIN DR
Practice Address - Street 2:
Practice Address - City:KENNER
Practice Address - State:LA
Practice Address - Zip Code:70065-1112
Practice Address - Country:US
Practice Address - Phone:504-430-8728
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-21
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA240055363LP0222X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0222XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics, Critical Care