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Contact Information

CARLA R BOUDOIR, CNP
1 VETERANS DR
MINNEAPOLIS, MN55417-2309
 Phone: 612-725-2000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for CARLA R BOUDOIR · (Female)

NPI # 1255953626
Status Active
Credentials CNP (Certified Nurse Practitioner)
Entity Individual
Enumeration date 05/08/2020
Last updated 03/17/2026 - About 3 months ago
Sole proprietor 1 No
Identifiers
  • MN License # 1618132
  • MN License # 7376
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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