Deidre A Boults (NPI# 1013358530, PAC ID# 2961634530) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1013358530 |
| PAC ID by PECOS | 2961634530 |
| Professional Enrollment ID | I20140414000804 |
| Full Name | Deidre A Boults |
| Organization Legal Name | MINUTECLINIC DIAGNOSTIC OF LOUISIANA, L.L.C. |
| Address |
201 N Canal Blvd Thibodaux LA 70301-2910 |
| Phone Number | 8663892727 |
| Gender | F |
| Graduation Year | 2012 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7618106477 |
| Number of Group Practice Members | 19 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 5360 Highland Rd, Baton Rouge, LA 70808-6548 | 8663892727 | MINUTECLINIC DIAGNOSTIC OF LOUISIANA, L.L.C. |
| 201 N Canal Blvd, Thibodaux, LA 70301-2910 | 8663892727 | MINUTECLINIC DIAGNOSTIC OF LOUISIANA, L.L.C. |
| Organization Legal Name | MINUTECLINIC DIAGNOSTIC OF LOUISIANA, L.L.C. |
| Physicians | 28 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carissa L Muller | Nurse Practitioner | Minuteclinic Diagnostic of Louisiana, L.L.C. | 1850 N Hwy 190, Covington, LA 70433-5157 |
| Guiseon Kim | Nurse Practitioner | Minuteclinic Diagnostic of Louisiana, L.L.C. | 4401 S Claiborne Ave, New Orleans, LA 70125-5105 |
| Dawn B Melancon | Nurse Practitioner | Minuteclinic Diagnostic of Louisiana, L.L.C. | 14360 Wax Rd, Baton Rouge, LA 70818-4279 |
| Jennifer S Nickens | Nurse Practitioner | Minuteclinic Diagnostic of Louisiana, L.L.C. | 17122 Airline Hwy, Prairieville, LA 70769-3402 |
| Holly Wt Chaney | Nurse Practitioner | Minuteclinic Diagnostic of Louisiana, L.L.C. | 7777 Bluebonnet Blvd, Baton Rouge, LA 70810-1632 |
| James A Till | Nurse Practitioner | Minuteclinic Diagnostic of Louisiana, L.L.C. | 2105 Cleary Ave, Metairie, LA 70001-1623 |
| Deanna M Quinn-stevenson | Nurse Practitioner | Minuteclinic Diagnostic of Louisiana, L.L.C. | 820 W Esplanade Ave, Kenner, LA 70065-2757 |
| Kryshonda Y Alleyne | Nurse Practitioner | Minuteclinic Diagnostic of Louisiana, L.L.C. | 201 N Canal Blvd, Thibodaux, LA 70301-2910 |
| Chad M Lahman | Nurse Practitioner | Minuteclinic Diagnostic of Louisiana, L.L.C. | 1850 N Hwy 190, Covington, LA 70433-5157 |
| Melissa Lepine | Nurse Practitioner | Minuteclinic Diagnostic of Louisiana, L.L.C. | 201 N Canal Blvd, Thibodaux, LA 70301-2910 |
| Street Address |
201 N CANAL BLVD |
| City | THIBODAUX |
| State | LA |
| Zip | 70301-2910 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kryshonda Y Alleyne | Nurse Practitioner | Minuteclinic Diagnostic of Louisiana, L.L.C. | 201 N Canal Blvd, Thibodaux, LA 70301-2910 |
| Melissa Lepine | Nurse Practitioner | Minuteclinic Diagnostic of Louisiana, L.L.C. | 201 N Canal Blvd, Thibodaux, LA 70301-2910 |
| Malana M Sutherland | Nurse Practitioner | Minuteclinic Diagnostic of Louisiana, L.L.C. | 201 N Canal Blvd, Thibodaux, LA 70301-2910 |
| April Larvadain Jacobs | Nurse Practitioner | Minuteclinic Diagnostic of Louisiana, L.L.C. | 201 N Canal Blvd, Thibodaux, LA 70301-2910 |
| Kristin K Whitty | Nurse Practitioner | Minuteclinic Diagnostic of Louisiana, L.L.C. | 201 N Canal Blvd, Thibodaux, LA 70301-2910 |
| Russell Carson | Nurse Practitioner | Minuteclinic Diagnostic of Louisiana, L.L.C. | 201 N Canal Blvd, Thibodaux, LA 70301-2910 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David R Kesterson | Physician Assistant | Thibodaux Regional Network Development Corporation | 525 Saint Mary St, Thibodaux, LA 70301-2627 |
| Lisa Mitchell | Optometry | Mitchell Eye Care Associates, L.L.C. | 425 Saint Mary St, Thibodaux, LA 70301-2641 |
| Jenaye M Deroche | Optometry | Mitchell Eye Care Associates, L.L.C. | 425 Saint Mary St, Thibodaux, LA 70301-2641 |
| David Mitchell | Optometry | Mitchell Eye Care Associates, L.L.C. | 425 Saint Mary St, Thibodaux, LA 70301-2641 |
| Jared S Thurston | Ophthalmology | 302 Ridgefield Rd, Thibodaux, LA 70301-2724 | |
| Charles L Seaman | Optometry | 907 Ridgefield Rd, Thibodaux, LA 70301-2843 | |
| Jeffrey Edward Aycock | Oral Surgery | Oral-facial Surgery Center Apc | 923 Ridgefield Rd, Thibodaux, LA 70301-2844 |
| Ann Ledet | Nurse Practitioner | Ochsner Clinic LLC | 318 N Canal Blvd, Thibodaux, LA 70301-2996 |
| Joshua Michael Collins | Physician Assistant | Ochsner Clinic LLC | 318 N Canal Blvd, Thibodaux, LA 70301-2996 |
| Craig G Hebert | Physical Therapy | Thibodaux Physical Therapy, Inc. | 104 E Bayou Rd, Thibodaux, LA 70301-3036 |
| Find all physicians in zip 70301 | |||
| City | THIBODAUX |
| Zip Code | 70301 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | THIBODAUX + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Deidre A Boults.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.