Individual
AMIE BOURGEOIS FALGOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
843 MILLING AVE, LULING, LA 70070-4442
(985) 785-5800
(985) 785-5811
Mailing address
843 MILLING AVE, LULING, LA 70070-4442
(985) 785-5800
(985) 785-5811
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN078261-AP05915
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2110551
—
LA
Enumeration date
01/14/2009
Last updated
07/26/2010
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