Payne, Brandi Boudreaux
Payne, Brandi Boudreaux is an individual health care provider with primary practice located at 827 N Pine St , Gramercy LA 70052-3602. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Payne, Brandi Boudreaux can be contacted via phone (225) 869-9200.Contact Information
Primary practice address
827 N Pine St
Gramercy LA 70052-3602
Phone: (225) 869-9200
Fax: (225) 869-9241
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP07475 | Louisiana |
Profile Details
| NPI number | 1336573492 |
|---|---|
| LBN Legal business name | Payne, Brandi Boudreaux |
| Credentials | FNP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 26th, 2013 |
| Last updated | May 19th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336573492 | NPPES |
| Louisiana | MEDICAID | 2346806 |
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