Individual provider · Type 1 NPI

Blair Boudreaux, NP

Family Nurse Practitioner · Hammond, LA

NPI number 1407302797 Active

Practice location

15790 Paul Vega Md Dr, Emergency Department
Hammond, LA 70403-1434

Fax (985) 230-1361

Mailing address

15790 Paul Vega Md Drive, Emergency Department
Hammond, LA 70403-1434

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XAP08933 (LA)

Family Nurse Practitioner: Definition to come...

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About NPI 1407302797

Blair Boudreaux, NP's National Provider Identifier is 1407302797, issued on Aug 28, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Hammond, LA. The record was last updated on Aug 28, 2016.