Provider Demographics
NPI:1700225737
Name:BEYER BOUDREAUX, RENEE DENISE (FNP)
Entity Type:Individual
Prefix:MRS
First Name:RENEE
Middle Name:DENISE
Last Name:BEYER BOUDREAUX
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:MS
Other - First Name:RENEE
Other - Middle Name:DENISE
Other - Last Name:BEYER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:500 RUE DE LA VIE
Mailing Address - Street 2:SUITE 401
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70817
Mailing Address - Country:US
Mailing Address - Phone:225-250-1025
Mailing Address - Fax:225-367-1025
Practice Address - Street 1:500 RUE DE LA VIE, SUITE 401
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70817
Practice Address - Country:US
Practice Address - Phone:225-250-1025
Practice Address - Fax:225-367-1025
Is Sole Proprietor?:No
Enumeration Date:2013-06-24
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP07373363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily