Provider Demographics
NPI:1962616995
Name:LEBOURGEOIS, ERIN O'FRIEL (APRN, NNP)
Entity type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:O'FRIEL
Last Name:LEBOURGEOIS
Suffix:
Gender:F
Credentials:APRN, NNP
Other - Prefix:MISS
Other - First Name:ERIN
Other - Middle Name:MICHELLE
Other - Last Name:O'FRIEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN, NNP
Mailing Address - Street 1:500 RUE DE LA VIE
Mailing Address - Street 2:SUITE 405
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70817-5128
Mailing Address - Country:US
Mailing Address - Phone:225-928-2555
Mailing Address - Fax:225-929-9685
Practice Address - Street 1:500 RUE DE LA VIE
Practice Address - Street 2:SUITE 405
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70817-5128
Practice Address - Country:US
Practice Address - Phone:225-928-2555
Practice Address - Fax:225-929-9685
Is Sole Proprietor?:No
Enumeration Date:2007-05-09
Last Update Date:2013-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP05180363LN0000X, 363LN0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0005XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal, Critical Care
No363LN0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal