Individual
EMILIE T BOUDREAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
2390 W CONGRESS ST, LAFAYETTE, LA 70506-4205
(337) 261-6415
(337) 261-6416
Mailing address
2390 W CONGRESS ST, LAFAYETTE, LA 70506-4205
(337) 261-6415
(337) 261-6416
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
1901
LA
Other
Enumeration date
06/17/2008
Last updated
06/17/2010
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