Healthcare Provider Details

I. General information

NPI: 1972359081
Provider Name (Legal Business Name): EMMA TREUIL BOULIGNY RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/29/2024
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 OCHSNER BLVD
TERRYTOWN LA
70056-5255
US

IV. Provider business mailing address

3713 BARBARA PL
METAIRIE LA
70002-5805
US

V. Phone/Fax

Practice location:
  • Phone: 504-371-9355
  • Fax:
Mailing address:
  • Phone: 504-460-6991
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number217294
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: