NPI 1023417722

Misty Boudreaux

Practitioner Certified Registered Nurse Anesthetist Kenner, LA

Practice location

Address: 180 W Esplanade Ave, Kenner, LA 70065-2467
Phone: (504) 468-8600
Mailing address: 6875 West End Blvd, New Orleans, LA 70124

Registered specialties

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence AP07975 (LA)

Other Nurse Anesthetist, Certified Registered providers in Louisiana →

Registry record

NPI: 1023417722
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Aug 2014
Record last updated: 18 Nov 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.