Individual provider · Type 1 NPI

Latasha Chantella Bourque, BSN, RN

Student in an Organized Health Care Education/Training Program · Lafayette, LA

NPI number 1457294886 Active

Practice location

1214 Coolidge Blvd
Lafayette, LA 70503-2621

Call (337) 289-7991 Map

Mailing address

204 Cascade Water Ln
Broussard, LA 70518-5287

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

165 other providers at this address

Other student in an organized health care education/training program providers in Lafayette

See all in Lafayette →

About NPI 1457294886

Latasha Chantella Bourque, BSN, RN's National Provider Identifier is 1457294886, issued on Apr 10, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Lafayette, LA. The record was last updated on Apr 10, 2026.