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Contact Information

STACI S BOUDREAUX, PA-C
333 GASHES CREEK RD STE 111
ASHEVILLE, NC28803-9405
 Phone: 828-299-5515
 Fax: 828-701-0626
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for STACI S BOUDREAUX · (Female)

NPI # 1487649091
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 09/20/2005
Last updated 05/05/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • LA License # PAA10607 RX
  • NC License # 0010-10929
  • LA Medicaid 1026867
Hospital affiliation(s)
  • MEMORIAL MISSION HOSPITAL AND ASHEVILLE SURGERY CE - (Acute Care)
    509 BILTMORE AVE
    ASHEVILLE, NC 28801
  • THE MCDOWELL HOSPITAL - (Acute Care)
    430 RANKIN DRIVE P O BOX 730
    MARION, NC 28752
  • TRANSYLVANIA REGIONAL HOSPITAL INC - (Critical Access)
    90 HOSPITAL DRIVE PO BOX 1116
    BREVARD, NC 28712
  • WOMEN AND CHILDREN'S HOSPITAL AT LAKE CHARLES - (Acute Care)
    4200 NELSON ROAD
    LAKE CHARLES, LA 70605
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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