Individual provider · Type 1 NPI
Kathleen Marie Boudreaux, P.M.H.N.P.
Psychiatric/Mental Health Nurse Practitioner · Lafayette, LA
NPI number
1659540250
Active
Practice location
2390 W Congress St
Lafayette, LA 70506-4205
Fax (337) 266-4818
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | AP05667 (LA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1659540250
Kathleen Marie Boudreaux, P.M.H.N.P.'s National Provider Identifier is 1659540250, issued on Feb 27, 2008. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Lafayette, LA. The record was last updated on Sep 16, 2009.