Organization
HEALTH BOUTIQUE
Active
Other names
HEALTH BOUTIQUE LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MHYKEISHA KATRESE EVANS-GEORGE FNP-C (SOLE MEMBER/OWNER)
(318) 458-4523
Entity
Organization
Contact information
Practice address
606 LATIOLAIS DR UNIT A, BREAUX BRIDGE, LA 70517-4231
(337) 414-6463
(337) 414-6483
Mailing address
203 TIMBERLAND RIDGE BLVD, LAFAYETTE, LA 70507-2746
(318) 458-4523
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/13/2025
Last updated
06/13/2025
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