Boulanger, Brianna

Boulanger, Brianna is an individual health care provider with primary practice located at 184 Mammoth Rd Unit 4, Londonderry NH 03053. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Boulanger, Brianna can be contacted via phone (603) 473-4451.

Contact Information

Primary practice address
184 Mammoth Rd Unit 4 Londonderry NH 03053
Phone: (603) 473-4451
Fax: (603) 584-4822
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 074103-23 New Hampshire

Profile Details

NPI number 1013426048
LBN Legal business name Boulanger, Brianna
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2017
Last updated Oct 24th, 2023 - about last year

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 1013426048 NPPES
New Hampshire MEDICAID 3139067

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