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MS. AMY BOUDREAU APRN
>> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1194729913
Individual Registrant:MS. AMY BOUDREAU APRN
Gender: F
Not Sole Proprietor
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
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
Tel: 203-445-7093 Fax: 203-445-7094
Registration Information:
NPI: 1194729913
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | CT | 002411 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
