LISA BOUDREAUX MIMNAGH NPI 1063950285

NPI Information

  • NPI: 1063950285
  • Provider Name: LISA BOUDREAUX MIMNAGH
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • Address: 151 GAINESVILLE DR
    GRAY, LA
    ZIP 70359
  • Phone: (985) 790-2568

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NPI Details

Lisa Boudreaux Mimnagh is a psychiatric/mental health nurse practitioner in Gray, LA. Lisa Boudreaux Mimnagh NPI is 1063950285. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

151 GAINESVILLE DR
GRAY, LA
ZIP 70359-525
Phone: (985) 790-2568

The enumeration date for this NPI number is 2/8/2017 and was last updated on 2/8/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental HealthAP09186LOUISIANAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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