Marcus A Boudreaux is a Family in Sulphur, Louisiana. Marcus A Boudreaux practices all healthcare services and medical treatments related to Family. The NPI Number for Marcus A Boudreaux is 1235255712. The last update date is 2012-06-21.
Marcus A Boudreaux's current location address is 600 Cypress St, Sulphur, Louisiana. You can contact this provider via phone number 3375276371 and fax number 3375282034. The mailing address for Marcus A Boudreaux is 600 Cypress St, Sulphur, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marcus A Boudreaux |
|---|---|
| Address | 600 Cypress St, Sulphur, Louisiana |
| Phone Number | 3375276371 |
| Fax Number | 3375282034 |
| Sole Proprietor | N |
| Credentials | FNP |
NPI Number Detail
| NPI Number | 1235255712 |
|---|---|
| Provider Enumeration Date | 2007-03-22 |
| Last Updated Date | 2012-06-21 |
Provider Mailing Address Detail
| Address | 600 Cypress St |
|---|---|
| City | Sulphur |
| State | Louisiana (LA) |
| Post Code | 706635052 |
| Phone Number | 3375276371 |
| Fax Number | 3375282034 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 079290APO423 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1191078 | LA | -- |
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What is the unique provider identifier assigned to Marcus A Boudreaux?
The Marcus A Boudreaux has been issued the NPI (National Provider Identifier) 1235255712 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Marcus A Boudreaux's physical address?
The Marcus A Boudreaux is physically located at 600 Cypress St, in the city of Sulphur, LA, with the postal code 706635052.
What is the Marcus A Boudreaux's area of specialization and corresponding taxonomy classification?
The Marcus A Boudreaux's specialty field is Family, and it falls under the taxonomy code 363Lf0000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1235255712 to Marcus A Boudreaux?
The Centers for Medicare & Medicaid Services originally issued the 1235255712 to Marcus A Boudreaux on 2007-03-22.
When was the information regarding Marcus A Boudreaux most recently updated?
The details pertaining to the Marcus A Boudreaux, including its address, specialty, and other relevant information, were last refreshed on 2012-06-21.
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