Boudour, Karen

Boudour, Karen is an individual health care provider with primary practice located at 319 5Th St Sw , Puyallup WA 98371-5828. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Boudour, Karen can be contacted via phone (253) 848-0351.

Contact Information

Primary practice address
319 5Th St Sw Puyallup WA 98371-5828
Phone: (253) 848-0351
Fax: (253) 841-1397
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN00126895 Washington
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP30005382 Washington

Profile Details

NPI number 1255337762
LBN Legal business name Boudour, Karen
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2005
Last updated Oct 28th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255337762 NPPES
Washington MEDICAID 9643206

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