Individual
AMY BOATMAN DUBOIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
210 MEDICAL DR, NATCHITOCHES, LA 71457-6052
(318) 357-3122
(318) 357-3240
Mailing address
210 MEDICAL DR, NATCHITOCHES, LA 71457-6052
(318) 357-3122
(318) 357-3240
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
114204
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1710083
—
LA
Enumeration date
07/07/2021
Last updated
07/07/2021
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