Individual
SARAH H BOURGEOIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1006 S HARRISON ST, COVINGTON, LA 70433-3661
(985) 871-4140
Mailing address
PO BOX 54482, NEW ORLEANS, LA 70154-3629
(985) 898-4493
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
224321
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
224321
LICENSE
LA
Enumeration date
02/18/2022
Last updated
05/26/2022
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