| Doctor Name: | REBECCA M BREAUX |
| NPI Number: | 1538596739 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | AP07485 |
| Business Practice Address: | 102 Twin Oaks Dr Raceland, LA - 703942760 |
| Business Phone Number: | 9855374000 |
| Business Fax Number: | 9855374074 |
| Mailing Address: | Po Box 4176, HOUMA |
| State: | LA |
| Postal Code: | 703614176 |
| Phone Number: | 9858725864 |
| Fax Number: | 9858720317 |
| NPI Enumeration Date: | 10/02/2013 |
| NPI Last Update Date: | 01/26/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | AP07485 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |