MEDICARE: LAURA MAHONEY BOYER FNP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	AP09962	LA

General Provider Information

NPI Number	:	1134614183
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURA MAHONEY BOYER FNP-C

Provider Business Mailing Address
First Line	:	7015 HIGHWAY 190 EAST SERVICE RD STE 200
Second Line	:
City	:	COVINGTON
State	:	LA
Zip	:	70433-4960
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7015 HIGHWAY 190 EAST SERVICE RD STE 200
Second Line	:
City	:	COVINGTON
State	:	LA
Zip	:	70433-4960
Country	:	US
Telephone Number	:	985-630-3107
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/22/2018
Last Update Date	:	01/28/2026

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