Donna Boudreaux Wilson
Nurse Practitioner, Family in Morgan City, LA. Individual provider (NPI-1).
NPI number1982196432
StatusActive
Last updated in NPPESMay 31, 2018
Details
- NPI
- 1982196432
- Entity type
- Individual (NPI-1)
- Name
- Donna Boudreaux Wilson
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 31, 2018
- Last updated
- May 31, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | AP09968 | LA | Yes |
Practice location
1125 Marguerite StMorgan City, LA 70380-1855
Phone 985-384-2200
Mailing address
978 Bull Run RdSchriever, LA 70395-3216
Phone 985-217-7873
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