Boudreau, Mary Ellen

Boudreau, Mary Ellen is an individual health care provider with primary practice located at 790 E Columbia St , Mason MI 48854-1387. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Behavioral Health & Social Service Providers / Clinical, Nursing Service Providers / Community Health. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Boudreau, Mary Ellen can be contacted via phone (517) 244-0120.

Contact Information

Primary practice address
790 E Columbia St Mason MI 48854-1387
Phone: (517) 244-0120
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 4704265711 Michigan
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6801065539 Michigan
Nursing Service Providers / Community Health 163WC1500X 4704265711 Michigan

Profile Details

NPI number 1730523598
LBN Legal business name Boudreau, Mary Ellen
Credentials NP (AGPCNP-BC)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2013
Last updated Jan 29th, 2014 - about 10 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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