Michelle C Boudria in Fort Worth - Nurse Practitioner
Michelle C Boudria - NPI 1578641445
Michelle C Boudria is a Nurse Practitioner in Fort Worth, Texas. Michelle C Boudria practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Michelle C Boudria is 1578641445. The last update date is 2021-03-31.
Michelle C Boudria's current location address is 1902 Windsor Pl Ste 102, Fort Worth, Texas. You can contact this provider via phone number 6822071700 and fax number 6822505246. The mailing address for Michelle C Boudria is 1902 Windsor Pl Ste 102, Fort Worth, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michelle C Boudria |
|---|---|
| Address | 1902 Windsor Pl Ste 102, Fort Worth, Texas |
| Phone Number | 6822071700 |
| Fax Number | 6822505246 |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1578641445 |
|---|---|
| Provider Enumeration Date | 2006-11-01 |
| Last Updated Date | 2021-03-31 |
Provider Mailing Address Detail
| Address | 1902 Windsor Pl Ste 102 |
|---|---|
| City | Fort Worth |
| State | Texas (TX) |
| Post Code | 761101866 |
| Phone Number | 6822071700 |
| Fax Number | 6822505246 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | AP115310 |
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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 provider identifier assigned to Michelle C Boudria?
The Michelle C Boudria has been issued the NPI (National Provider Identifier) 1578641445 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Michelle C Boudria is physically located?
The Michelle C Boudria is situated at the following address: 1902 Windsor Pl Ste 102, Fort Worth, TX 761101866.
What is Michelle C Boudria's specialized field of practice, and what is the corresponding taxonomy classification code?
The Michelle C Boudria's area of specialization is Nurse Practitioner, and the corresponding taxonomy code that categorizes this field of practice is 363L00000X.
On what date did Michelle C Boudria receive its 1578641445 assignment from the Centers for Medicare & Medicaid Services?
The Michelle C Boudria was assigned its 1578641445 on 2006-11-01, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Michelle C Boudria's details last updated?
The information pertaining to the Michelle C Boudria, including its address, specialty, and other details, was most recently updated on 2021-03-31.