Individual
CHASTITY L BOUDREAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
180 W ESPLANADE AVE, KENNER, LA 70065-2467
(504) 712-2800
Mailing address
180 W ESPLANADE AVE, KENNER, LA 70065-2467
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
206966
LA
Other
Enumeration date
12/24/2019
Last updated
02/01/2020
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