person
Lisa Boudreaux Mimnagh
Psychiatric/Mental Health Nurse Practitioner in Gray, Louisiana
NPI 1063950285

Lisa Boudreaux Mimnagh is a Psychiatric/Mental Health Nurse Practitioner based in Gray, LA and is specialized in Psychiatric/Mental Health. Lisa Boudreaux Mimnagh practices in Gray, LA. The NPI Number for Lisa Boudreaux Mimnagh is 1063950285 and holds a License No. AP09186 (Louisiana).

The current practice location address for Lisa Boudreaux Mimnagh is 151 Gainesville Dr, Gray, LA and can be reached out via phone at 985-790-2568.

Location: 151 Gainesville Dr, Gray, LA, 70359-4525
person
Provider Profile Details
NPI Number
1063950285
Provider Name
Lisa Boudreaux Mimnagh
Credential
Provider Entity Type
Individual
Gender
Female
Address
151 Gainesville Dr, Gray, LA, 70359-4525
Phone Number
985-790-2568
Fax Number
Provider Enumeration Date
02/08/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
151 Gainesville Dr
City
State
Zip
70359-4525
Phone Number
985-790-2568
Fax Number
person
Provider Business Mailing Address Details
Address
151 Gainesville Dr
City
State
Zip
70359-4525
Phone Number
985-790-2568
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
AP09186 (Louisiana)
Definition
Definition to come...
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