Boudreaux, David Michael

Boudreaux, David Michael is an individual health care provider with primary practice located at 902 N Hennessey St , New Orleans LA 70119-3622. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Boudreaux, David Michael can be contacted via phone (504) 488-1409.

Contact Information

Primary practice address
902 N Hennessey St New Orleans LA 70119-3622
Phone: (504) 488-1409
Fax: (504) 483-3277
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN036422 APO2191 Louisiana
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 031963 Texas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X ARNP9285473 Florida

Profile Details

NPI number 1063494722
LBN Legal business name Boudreaux, David Michael
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2005
Last updated Aug 8th, 2012 - about 14 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 1063494722 NPPES
Texas MEDICAID 199945001
Texas MEDICAID 001751800
Texas MEDICAID 1901741
Texas Other P00731625

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