CARLA RENEA BOUDOIR CNP
NPI 1255953626
Nurse Practitioner in Minneapolis, MN

Q: What is Carla Boudoir's NPI number?

The NPI number for Carla Boudoir is 1255953626. It was assigned to this individual provider in the NPPES registry on May 8, 2020.

Q: What is Carla Boudoir's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Carla Boudoir was last updated on March 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 08, 2020

1 VETERANS DR, MINNEAPOLIS, MN 55417(612) 725-2000 Get Directions Write a Review

NPPES record last updated: March 17, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 17, 2026, May 8, 2020 (2 updates tracked since 2020).

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About Carla Renea Boudoir Cnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CARLA RENEA BOUDOIR CNP (NPI 1255953626) is an individual nurse practitioner in Minneapolis, Minnesota, licensed in Minnesota (7376) and active in the NPI registry since May 2020.

NPPES Registry Identity

NPI1255953626

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameCARLA RENEA BOUDOIRCredential: CNP

Location Address1 VETERANS DRMinneapolis, MN 55417-2309

Mailing Address1 Veterans DrMinneapolis, MN 55417-2309 · (612) 725-2000

Phone(612) 725-2000

Sole ProprietorNo

Enumeration DateMay 8, 2020

Last NPPES UpdateMarch 17, 20262 updates tracked since enumeration

NPPES CertifiedMarch 17, 2026

✔ NPI 1255953626 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in MN · 7376

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedRegistered NurseTaxonomy 163W00000X · License 1618132 (MN)

1 VETERANS DR, Minneapolis, MN 55417

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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