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General NPI Number Information
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NPI Number | 1164299764
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Entity Type | Individual
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Provider Name | CELESTE M HOWARD-BOURQUE PMHNP-BC, APRN
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Gender | Female
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Dates
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Enumeration Date | 12/05/2023
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Last Update Date | 08/28/2025
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Provider Practice Location Address
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Address Line | 4544 W CENTRAL AVE
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City | ZACHARY
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State | LA
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Zip | 70791-3729
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Country | US
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Telephone | 337-739-9824
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Fax | 504-208-4952
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Provider Business Mailing Address
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Address Line | 4544 W CENTRAL AVE
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City | ZACHARY
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State | LA
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Zip | 70791-3729
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Country | US
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Telephone | 337-739-9824
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Fax | 504-208-4952
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 208628
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 1152741
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License Number State | TX
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