Doctor Name: | BRANDI BOUDREAUX |
NPI Number: | 1558564948 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LDN, RD |
License Number: | 1668 |
Business Practice Address: | 4801 Ambassador Caffery Pkwy Lafayette, LA - 705086917 |
Business Phone Number: | 3374702000 |
Business Fax Number: | |
Mailing Address: | 4801 Ambassador Caffery Pkwy, LAFAYETTE |
State: | LA |
Postal Code: | 705086917 |
Phone Number: | 3374702000 |
Fax Number: | |
NPI Enumeration Date: | 06/06/2007 |
NPI Last Update Date: | 06/02/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 1668 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |