Boudreaux, Raegen Harbour
Boudreaux, Raegen Harbour is an individual health care provider with primary practice located at 1717 Saint Charles Ave , New Orleans LA 70130-5223. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Boudreaux, Raegen Harbour can be contacted via phone (504) 529-6600.Contact Information
Primary practice address
1717 Saint Charles Ave
New Orleans LA 70130-5223
Phone: (504) 529-6600
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 310483 | Louisiana |
Profile Details
| NPI number | 1952883605 |
|---|---|
| LBN Legal business name | Boudreaux, Raegen Harbour |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 29th, 2018 |
| Last updated | Jul 7th, 2022 - about 4 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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