Provider Demographics
NPI:1760687784
Name:BOUVIER, DENISE ANN (APRN, FNP-C)
Entity Type:Individual
Prefix:MS
First Name:DENISE
Middle Name:ANN
Last Name:BOUVIER
Suffix:
Gender:F
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25835 BIENVILLE DR
Mailing Address - Street 2:
Mailing Address - City:DENHAM SPRINGS
Mailing Address - State:LA
Mailing Address - Zip Code:70726-6260
Mailing Address - Country:US
Mailing Address - Phone:225-664-6542
Mailing Address - Fax:
Practice Address - Street 1:16 INFIRMARY RD
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70803-0001
Practice Address - Country:US
Practice Address - Phone:225-578-6761
Practice Address - Fax:225-578-0596
Is Sole Proprietor?:No
Enumeration Date:2007-06-19
Last Update Date:2023-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP03997363LF0000X
LARN057591 AP03997363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1697478Medicaid
LAP00659888OtherRAILROAD MCARE THRU PEPA
LA1126268Medicaid
LA1126268Medicaid
LA4C350CQ60Medicare PIN
LAG55331Medicare UPIN