Individual
JOHN BOUGHTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
433 BOLIVAR ST, NEW ORLEANS, LA 70112-7021
(505) 568-4808
Mailing address
13083 N SPRUCE ST, VACHERIE, LA 70090-3148
(225) 439-4365
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
230503
LA
Other
Enumeration date
08/16/2020
Last updated
06/02/2023
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