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:
Health care specialties
Specialty | Code | License # | 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 2 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1255337762 | NPPES |
Washington | MEDICAID | 9643206 |
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