Individual
BLAIR BOUDREAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
15790 PAUL VEGA MD DR, EMERGENCY DEPARTMENT, HAMMOND, LA 70403-1434
(985) 230-1360
(985) 230-1361
Mailing address
15790 PAUL VEGA MD DRIVE, EMERGENCY DEPARTMENT, HAMMOND, LA 70403-1434
(985) 230-1360
(985) 230-1361
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP08933
LA
Other
Enumeration date
08/28/2016
Last updated
08/28/2016
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