Individual
KRISTY BOAGNI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
331 S MAIN ST, OPELOUSAS, LA 70570-6137
(337) 942-7155
(877) 543-9391
Mailing address
331 S MAIN ST, OPELOUSAS, LA 70570-6137
(337) 942-7155
(877) 543-9391
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
206038
LA
Other
Enumeration date
06/10/2019
Last updated
06/10/2019
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