Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. NICOLE M BOUDREAUX, PA-C
ActiveMRS. NICOLE M BOUDREAUX, PA-C is a Medical Physician Assistant healthcare provider located in PRINCESS ANNE, Maryland. NPI 1699231894 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · PRINCESS ANNE, MD
Registration Details
- NPI Number
- 1699231894
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 13, 2019 (7.4870587660256 yrs)
- Last Updated
- Dec 27, 2023
- Licenses
-
C0007122 (MD)C0007122 (MD)
Practice Information
- Address
-
12302 SOMERSET AVE STE ABPRINCESS ANNE, MD, 218533099Browse MD providers · Browse ZIP 21853
- Phone
- 4106510300
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
- Additional Specialty
- Emergency Medicine
Other Medical Physician Assistant Providers in PRINCESS ANNE, MD
| Name | Credential | NPI |
|---|---|---|
| KEVIN MICHAEL MEADOWCROFT | PA-C | 1942504295 |
| MR. LIONEL MUE KUM | PA-C | 1942669494 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.