Healthcare Provider Details

I. General information

NPI: 1376620641
Provider Name (Legal Business Name): HELEN BOOTHE MEAUX RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/01/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

220 S JEFFERSON ST
ABBEVILLE LA
70510-5906
US

IV. Provider business mailing address

409 N IRVING AVE
KAPLAN LA
70548-4142
US

V. Phone/Fax

Practice location:
  • Phone: 337-898-5799
  • Fax: 337-898-5816
Mailing address:
  • Phone: 337-643-6556
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License NumberRN043727
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: