Provider Demographics
NPI:1154711000
Name:BLOUIN, CARLA M (MSN, FNP-C)
Entity type:Individual
Prefix:MS
First Name:CARLA
Middle Name:M
Last Name:BLOUIN
Suffix:
Gender:F
Credentials:MSN, FNP-C
Other - Prefix:MS
Other - First Name:CARLA MICHELLE
Other - Middle Name:GUERRERO
Other - Last Name:BLOUIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSN, FNP-C
Mailing Address - Street 1:4848 WINDSOR VLG DR
Mailing Address - Street 2:UNIT 12
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70817-1380
Mailing Address - Country:US
Mailing Address - Phone:225-335-3864
Mailing Address - Fax:
Practice Address - Street 1:4848 WINDSOR VLG DR
Practice Address - Street 2:UNIT 12
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70817-1380
Practice Address - Country:US
Practice Address - Phone:225-335-3864
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-01-30
Last Update Date:2015-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP08145363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily