Individual provider · Type 1 NPI
Lisa Boudreaux Mimnagh
Psychiatric/Mental Health Nurse Practitioner · Gray, LA
NPI number
1063950285
Active
Practice location
151 Gainesville Dr
Gray, LA 70359-4525
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | AP09186 (LA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Another provider at this address
Other psychiatric/mental health nurse practitioner providers in Gray
About NPI 1063950285
Lisa Boudreaux Mimnagh's National Provider Identifier is 1063950285, issued on Feb 8, 2017. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Gray, LA. The record was last updated on Feb 8, 2017.