Individual
MRS. BRANDI BOUDREAUX PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
827 N PINE ST, GRAMERCY, LA 70052-3602
(225) 869-9200
(225) 869-9241
Mailing address
2122 SOUTH RICHLAND AVE, GONZALES, LA 70737-4057
(225) 324-1645
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP07475
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2346806
—
LA
Enumeration date
08/26/2013
Last updated
05/19/2022
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