Individual
DONNA BOUDREAUX WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1125 MARGUERITE ST, MORGAN CITY, LA 70380-1855
(985) 384-2200
Mailing address
978 BULL RUN RD, SCHRIEVER, LA 70395-3216
(985) 217-7873
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP09968
LA
Other
Enumeration date
05/31/2018
Last updated
05/31/2018
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