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Contact Information

SAMANTHA BOUDREAU, FNP
26 CANADA ST
SWANTON, VT05488-1335
 Phone: 802-868-2454
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for SAMANTHA BOUDREAU · (Female)

NPI # 1619859998
Status Active
Credentials FNP (Family Nurse Practitioner)
Entity Individual
Enumeration date 07/25/2025
Last updated 11/12/2025 - About 7 months ago
Sole proprietor 1 No
Identifiers
  • VT License # 101.0138092
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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