Lookup NPI Numbers from the NPI Registry
NPI Profile for MARY E BOUDREAU in MASON, MI.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Primary Care |
363LP2300X | 50 | Nurse Practitioner | |
Clinical |
1041C0700X | 80 | Licensed Clinical Social Worker | |
Community Health |
163WC1500X |
| NPI Number | 1730523598 |
|
| Status | Active | |
| Credentials | NP (AGPCNP-BC) | |
| Entity | Individual | |
| Enumeration date | 04/24/2013 | |
| Last updated | 01/29/2014 - About 12 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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| Hospital affiliation(s) |
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MARY E BOUDREAU
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MARY E BOUDREAU, NP (AGPCNP-BC)