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MS. AMY BOUDREAU APRN

>> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1194729913

Individual Registrant:
MS. AMY  BOUDREAU APRN
Gender: F
Not Sole Proprietor

Location and contact information for practice:
115 TECHNOLOGY DR SUITE 300 TRUMBULL, CT 06611-6337 US
Tel: 203-445-7093  Fax: 203-445-7094

Contact information for business:
115 TECHNOLOGY DR SUITE 300 TRUMBULL, CT 06611-6337 US
Tel: 203-445-7093  Fax: 203-445-7094

Registration Information:
NPI: 1194729913
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363L00000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
CT002411

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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