Individual
CONNIE R BOULIGNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1450 POYDRAS STREET, 1934, NEW ORLEANS, LA 70112-2401
(504) 568-8195
Mailing address
5459 STILLWATER DR, NEW ORLEANS, LA 70128-3412
(504) 390-5060
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
35423 02872
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2369083
—
LA
Enumeration date
01/24/2007
Last updated
10/15/2015
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