Individual
MS. MICHELE MARIE BOUTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1408 TECHE, NEW ORLEANS, LA 70114-5843
(504) 365-8800
(504) 368-9836
Mailing address
2105 CLEARY AVE, METAIRIE, LA 70001-1623
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP06642
LA
363LF0000X
Family Nurse Practitioner
TAP002663
LA
Other
Enumeration date
08/29/2011
Last updated
03/17/2018
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