Leiane Moore Boudreau in Saint Augustine - Nurse Practitioner
Leiane Moore Boudreau - NPI 1588833958
Leiane Moore Boudreau is a Nurse Practitioner in Saint Augustine, Florida. Leiane Moore Boudreau practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Leiane Moore Boudreau is 1588833958. The last update date is 2015-01-05.
Leiane Moore Boudreau's current location address is 1301 Plantation Island Dr S, Saint Augustine, Florida. You can contact this provider via phone number 9044609191 and fax number 9044714859. The mailing address for Leiane Moore Boudreau is 1301 Plantation Island Dr S, Saint Augustine, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Leiane Moore Boudreau |
|---|---|
| Address | 1301 Plantation Island Dr S, Saint Augustine, Florida |
| Phone Number | 9044609191 |
| Fax Number | 9044714859 |
| Sole Proprietor | N |
| Credentials | ARNP |
NPI Number Detail
| NPI Number | 1588833958 |
|---|---|
| Provider Enumeration Date | 2008-02-29 |
| Last Updated Date | 2015-01-05 |
Provider Mailing Address Detail
| Address | 1301 Plantation Island Dr S |
|---|---|
| City | Saint Augustine |
| State | Florida (FL) |
| Post Code | 320803108 |
| Phone Number | 9044609191 |
| Fax Number | 9044714859 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | ARNP2514302 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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What is the unique identifier code issued to Leiane Moore Boudreau by the Centers for Medicare & Medicaid Services?
The Leiane Moore Boudreau has been assigned the NPI (National Provider Identifier) 1588833958. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Leiane Moore Boudreau's facilities are geographically located?
The facilities of Leiane Moore Boudreau are physically situated at the following location: 1301 Plantation Island Dr S, Saint Augustine, FL, 320803108.
What is the Leiane Moore Boudreau's specialty and taxonomy code?
The Leiane Moore Boudreau's specialty is Nurse Practitioner, and the corresponding taxonomy code is 363L00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1588833958 to Leiane Moore Boudreau?
The Centers for Medicare & Medicaid Services originally issued the 1588833958 to Leiane Moore Boudreau on 2008-02-29.
When was the information regarding Leiane Moore Boudreau most recently updated?
The details pertaining to the Leiane Moore Boudreau, including its address, specialty, and other relevant information, were last refreshed on 2015-01-05.
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