DEIDRE ALLEN BOULTS

BATON ROUGE, LA
NPI1013358530
Former NameDEIDRE MARSHA ALLEN BOSLEY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: LA  AP07286)
Enumeration Date2013-07-12
Last Update Date2019-06-27
Business Address
Ms. DEIDRE ALLEN BOULTS FNP-C
5360 HIGHLAND RD
BATON ROUGE, LA 70808-6548
Phone number: 225-757-1023
Mailing Address
Ms. DEIDRE ALLEN BOULTS FNP-C
5360 HIGHLAND RD
BATON ROUGE, LA 70808-6548
Phone number: 225-757-1023