MYLENE BOUDREAU FNP
NPI 1356715957
Nurse Practitioner - Family in Greenville, SC

Q: What is Mylene Boudreau's NPI number?

The NPI number for Mylene Boudreau is 1356715957. It was assigned to this individual provider in the NPPES registry on November 19, 2015.

Q: What is Mylene Boudreau's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Mylene Boudreau was last updated on May 5, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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 November 19, 2015

75 E MCBEE AVE, GREENVILLE, SC 29601(864) 241-5199(864) 241-5198 Get Directions Write a Review

NPPES record last updated: May 5, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mylene Boudreau Fnp NPPES

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

MYLENE BOUDREAU FNP (NPI 1356715957) is an individual family provider in Greenville, South Carolina, licensed in South Carolina (19745) and active in the NPI registry since November 2015.

NPPES Registry Identity

NPI1356715957

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMYLENE BOUDREAUCredential: FNP

Location Address75 E MCBEE AVEGreenville, SC 29601-2737

Mailing AddressPo Box 743294Atlanta, GA 30374-3294 · (864) 675-4600

Phone(864) 241-5199

Fax(864) 241-5198

Sole ProprietorNo

Enumeration DateNovember 19, 2015

Last NPPES UpdateMay 5, 2017

✔ NPI 1356715957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in SC · 19745

75 E MCBEE AVE, Greenville, SC 29601

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Other Identifiers 1

OtherAPN.19745SC · Sc Board Of Nursing

Other Providers at the Same Location NPPES

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

DR. RICO AMANCIO ARAGON M.D.

Family Medicine

75 E MCBEE AVE
GREENVILLE, SC 29601

Greenville County (864) 241-5199

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mylene Boudreau's NPI number?

The NPI number for Mylene Boudreau is 1356715957. It was assigned to this individual provider in the NPPES registry on November 19, 2015.

Where is Mylene Boudreau located?

Mylene Boudreau practices at 75 E Mcbee Ave, Greenville, SC 29601. The listed phone number is (864) 241-5199.

What is Mylene Boudreau's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Mylene Boudreau was last updated on May 5, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.