person
Stacey W. Boudoin, NP
Psychiatric/Mental Health Nurse Practitioner in Mandeville, Louisiana
NPI 1861459794

Stacey W. Boudoin is a Psychiatric/Mental Health Nurse Practitioner based in Mandeville, LA and is specialized in Psychiatric/Mental Health. Stacey W. Boudoin practices in Mandeville, LA and has the professional credentials of NP. The NPI Number for Stacey W. Boudoin is 1861459794 and holds a License No. RN072251 (Louisiana).

The current practice location address for Stacey W. Boudoin is 635 Lafitte St Ste B, Mandeville, LA and can be reached out via phone at 985-624-5305 and via fax at 985-624-8643. You can also correspond with Stacey W. Boudoin through the mailing address at 635 LAFITTE ST, MANDEVILLE, LA - 70448-5269 (mailing address contact number: 985-624-5305).

Location: 635 Lafitte St Ste B, Mandeville, LA, 70448-5269
person
Provider Profile Details
NPI Number
1861459794
Provider Name
Stacey W. Boudoin
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
635 Lafitte St Ste B, Mandeville, LA, 70448-5269
Phone Number
985-624-5305
Fax Number
985-624-8643
Provider Enumeration Date
04/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1468584 05 LA
04002873 05 MS
institution
Provider Business Practice Location Address Details
Address
635 Lafitte St Ste B
City
State
Zip
70448-5269
Phone Number
985-624-5305
Fax Number
985-624-8643
person
Provider Business Mailing Address Details
Address
635 Lafitte St Ste B
City
State
Zip
70448-5269
Phone Number
985-624-5305
Fax Number
985-624-8643
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
RN072251 (Louisiana)
Definition
Definition to come...
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