Individual
MS. CHRISTINE BOUTTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2804 AMBASSADOR CAFFERY PKWY, LAFAYETTE, LA 70506-5906
(337) 981-5156
(337) 981-0673
Mailing address
2804 AMBASSADOR CAFFERY PKWY, LAFAYETTE, LA 70506-5906
(337) 981-5156
(337) 981-0673
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
101637-7753
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1992747349
NPI
LA
Enumeration date
06/24/2014
Last updated
06/24/2014
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