Individual
MRS. KATHLEEN MARIE BOUDREAUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.M.H.N.P.
Contact information
Practice address
2390 W CONGRESS ST, LAFAYETTE, LA 70506-4205
(337) 266-4827
(337) 266-4818
Mailing address
2390 W CONGRESS ST, LAFAYETTE, LA 70506-4205
(337) 266-4827
(337) 266-4818
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP05667
LA
Other
Enumeration date
02/27/2008
Last updated
09/16/2009
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