BLAIR BOUDREAUX NP NPI 1407302797

NPI Information

  • NPI: 1407302797
  • Provider Name: BLAIR BOUDREAUX, NP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 15790 PAUL VEGA MD DR
    EMERGENCY DEPARTMENT
    HAMMOND, LA
    ZIP 70403
  • Phone: (985) 230-1360

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NPI Details

Blair Boudreaux, NP is a family nurse practitioner in Hammond, LA with 10 years of experience. Blair Boudreaux, NP NPI is 1407302797. 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:

15790 PAUL VEGA MD DR
EMERGENCY DEPARTMENT
HAMMOND, LA
ZIP 70403-434
Phone: (985) 230-1360
Fax: (985) 230-1361

The NPI 1407302797 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/28/2016 and was last updated on 8/28/2016.

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 PractitionerFamilyAP08933LOUISIANAYes

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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