Individual
MR. DAVID MICHAEL BOUDREAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
902 N HENNESSEY ST, NEW ORLEANS, LA 70119-3622
(504) 488-1409
(504) 483-3277
Mailing address
902 N HENNESSEY ST, NEW ORLEANS, LA 70119-3622
(504) 488-1409
(504) 483-3277
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
031963
TX
367500000X
Certified Registered Nurse Anesthetist
ARNP9285473
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
RN036422 APO2191
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001751800
—
FL
05
—
1901741
—
LA
05
—
199945001
—
TX
01
—
P00731625
RAILROAD MEDICARE
TX
Enumeration date
11/17/2005
Last updated
08/08/2012
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