Individual
DAVID ANTHONY BOURGEOIS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN,FNP-C
Contact information
Practice address
315 RUE LOUIS XIV, LAFAYETTE, LA 70508-5734
(337) 269-9777
(337) 269-0244
Mailing address
213 RUE FONTAINE, LAFAYETTE, LA 70508-5742
(337) 269-9777
(337) 269-0244
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
220360
LA
Other
Enumeration date
06/14/2021
Last updated
08/02/2021
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