MEDICARE: ABIGAIL HAGEN BOUDREAUX

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	207R00000X	Internal Medicine Physician	335728	LA
2	207RS0012X	Sleep Medicine (Internal Medicine) Physician	335728	LA

General Provider Information

NPI Number	:	1750901724
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ABIGAIL HAGEN BOUDREAUX

Provider Business Mailing Address
First Line	:	1514 JEFFERSON HWY
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70121-2429
Country	:	US
Telephone Number	:	504-842-4000
Fax Number	:

Provider Business Practice Location Address
First Line	:	2820 NAPOLEON AVE STE 590
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70115-8209
Country	:	US
Telephone Number	:	504-842-4910
Fax Number	:	504-842-3157

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

Provider Enumeration Date	:	04/20/2020
Last Update Date	:	03/13/2026

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Directions to “ ABIGAIL HAGEN BOUDREAUX ” Practice Location

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