Bouligny, Connie R

Bouligny, Connie R is an individual health care provider with primary practice located at 1450 Poydras Street 1934, New Orleans LA 70112-2401. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Bouligny, Connie R can be contacted via phone (504) 568-8195.

Contact Information

Primary practice address
1450 Poydras Street 1934 New Orleans LA 70112-2401
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 35423 02872 Louisiana

Profile Details

NPI number 1598810129
LBN Legal business name Bouligny, Connie R
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2007
Last updated Oct 15th, 2015 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1598810129 NPPES
Louisiana MEDICAID 2369083

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