Organization · Type 2 NPI

Health Boutique

Family Nurse Practitioner · Breaux Bridge, LA

NPI number 1649166984 Active

Practice location

606 Latiolais Dr Unit A
Breaux Bridge, LA 70517-4231

Fax (337) 414-6483

Mailing address

203 Timberland Ridge Blvd
Lafayette, LA 70507-2746

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XNone listed

Family Nurse Practitioner: Definition to come...

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About NPI 1649166984

Health Boutique's National Provider Identifier is 1649166984, issued on Jun 13, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Breaux Bridge, LA. The record was last updated on Jun 13, 2025.