Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. MARY ELLEN BOUDREAU, NP (AGPCNP-BC)
ActiveMS. MARY ELLEN BOUDREAU, NP (AGPCNP-BC) is a Primary Care Nurse Practitioner healthcare provider located in MASON, Michigan. NPI 1730523598 is currently active in the NPPES registry. Verify at CMS.
Primary Care Nurse Practitioner · MASON, MI
Registration Details
- NPI Number
- 1730523598
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 24, 2013 (13.264041321994 yrs)
- Last Updated
- Jan 29, 2014
- Licenses
-
4704265711 (MI)6801065539 (MI)4704265711 (MI)
Practice Information
- Address
-
790 E COLUMBIA STMASON, MI, 488541387Browse MI providers · Browse ZIP 48854
- Phone
- 5172440120
- Primary Specialty
-
Primary Care Nurse Practitioner
363LP2300X
- Additional Specialty
- Clinical Social Worker
- Additional Specialty
- Community Health Nurse
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.