Boudrieau, Jeanne M
Boudrieau, Jeanne M is an individual health care provider with primary practice located at 1450 Northwest Ln Se Providence St. Peter Clinic At Panorama, Lacey WA 98503-6908. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Boudrieau, Jeanne M can be contacted via phone (360) 491-4460.Contact Information
Primary practice address
1450 Northwest Ln Se Providence St. Peter Clinic At Panorama
Lacey WA 98503-6908
Phone: (360) 491-4460
Fax: (360) 491-3090
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP30004530 | Washington |
Profile Details
| NPI number | 1669445359 |
|---|---|
| LBN Legal business name | Boudrieau, Jeanne M |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 11th, 2006 |
| Last updated | Feb 27th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669445359 | NPPES |
| Washington | MEDICAID | 9621798 |
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