MARCUS A BOUDREAUX FNP NPI 1235255712

NPI Information

  • NPI: 1235255712
  • Provider Name: MARCUS A BOUDREAUX, FNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 600 CYPRESS ST
    SULPHUR, LA
    ZIP 70663
  • Phone: (337) 527-6371

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NPI Details

Marcus A Boudreaux, FNP is a family nurse practitioner in Sulphur, LA. Marcus A Boudreaux, FNP NPI is 1235255712. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

600 CYPRESS ST
SULPHUR, LA
ZIP 70663-052
Phone: (337) 527-6371
Fax: (337) 528-2034

The enumeration date for this NPI number is 3/22/2007 and was last updated on 6/21/2012.

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
1363LF0000XNurse PractitionerFamily079290APO4239LOUISIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11191078MEDICAIDLOUISIANA

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: 3/30/2025

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