Bourgeois, Regina

Bourgeois, Regina is an individual health care provider with primary practice located at 1202 S Tyler St , Covington LA 70433-2330. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Bourgeois, Regina can be contacted via phone (985) 898-4000.

Contact Information

Primary practice address
1202 S Tyler St Covington LA 70433-2330
Phone: (985) 898-4000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN033764 Louisiana

Profile Details

NPI number 1013978659
LBN Legal business name Bourgeois, Regina
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2006
Last updated Oct 30th, 2009 - about 15 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 1013978659 NPPES
Louisiana MEDICAID 1390186

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