Individual
NIA ELLYSE BOUDOIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8440 W JUDGE PEREZ DR, CHALMETTE, LA 70043-1616
(504) 596-9520
Mailing address
8440 W JUDGE PEREZ DR, CHALMETTE, LA 70043-1616
(504) 596-9520
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
234108
LA
Other
Enumeration date
08/16/2023
Last updated
04/25/2025
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