Individual
BRANDI NICOLE BOREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7373 PERKINS RD, BATON ROUGE, LA 70808-4373
(225) 769-4044
Mailing address
543 HADLEY DR, BATON ROUGE, LA 70820-8306
(225) 223-4275
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
227049
LA
Other
Enumeration date
08/29/2022
Last updated
08/29/2022
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