Boudreaux, Tina Marie
Boudreaux, Tina Marie is an individual health care provider with primary practice located at 2390 W Congress St , Lafayette LA 70506-4205. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Boudreaux, Tina Marie can be contacted via phone (337) 261-6100.Contact Information
Primary practice address
2390 W Congress St
Lafayette LA 70506-4205
Phone: (337) 261-6100
Fax: (337) 261-6102
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | RN101634AP04563 | Louisiana |
Profile Details
| NPI number | 1568468353 |
|---|---|
| LBN Legal business name | Boudreaux, Tina Marie |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 26th, 2005 |
| Last updated | Jul 27th, 2016 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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