Individual
CATHERINE BOUTTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
443 HEYMANN BLVD, STE. B, LAFAYETTE, LA 70503-2630
(337) 289-8429
(337) 289-8431
Mailing address
PO BOX 4176, HOUMA, LA 70361-4176
(985) 872-4865
(985) 872-0317
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP07825
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2378104
—
LA
Enumeration date
08/28/2014
Last updated
03/15/2017
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