Boudreaux-Nippert, Denise Jean

Boudreaux-Nippert, Denise Jean is an individual health care provider with primary practice located at 3584 W 9000 S Suite 206, West Jordan UT 84088-5710. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Boudreaux-Nippert, Denise Jean can be contacted via phone (801) 561-2227.

Contact Information

Primary practice address
3584 W 9000 S Suite 206 West Jordan UT 84088-5710
Phone: (801) 561-2227
Fax: (801) 561-5353
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 5414306-1205 Utah

Profile Details

NPI number 1497862031
LBN Legal business name Boudreaux-Nippert, Denise Jean
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2006
Last updated Aug 31st, 2010 - about 14 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 1497862031 NPPES
Washington MEDICAID 8462897
Washington MEDICAID 247321
Washington Other 212969
Washington Other 8942479

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