| Doctor Name: | CATHERINE SPEARS FANGUE |
| NPI Number: | 1144461088 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | N.P. |
| License Number: | AP05750 |
| Business Practice Address: | 142 Rue Marguerite Thibodaux, LA - 703016738 |
| Business Phone Number: | 9854462131 |
| Business Fax Number: | 9854473383 |
| Mailing Address: | 142 Rue Marguerite, THIBODAUX |
| State: | LA |
| Postal Code: | 703016738 |
| Phone Number: | 9854462131 |
| Fax Number: | 9854473383 |
| NPI Enumeration Date: | 03/23/2009 |
| NPI Last Update Date: | 10/07/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | AP05750 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |