Individual
KARLEY MARIE BOAGNI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3434 PRYTANIA ST STE 410, NEW ORLEANS, LA 70115-3574
(504) 325-2900
Mailing address
1249 HAGAN AVE, NEW ORLEANS, LA 70119-3237
(337) 308-8692
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/17/2019
Last updated
04/23/2019
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