ANGIE BOLDUC
NPI 1700264090
Licensed Practical Nurse in Putnam, CT

Active since May 07, 2015
391 POMFRET ST, PUTNAM, CT 06260(860) 963-4971(860) 963-4979 Get Directions Write a Review

NPPES record last updated: October 15, 2020. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Angie Bolduc NPPES

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

ANGIE BOLDUC (NPI 1700264090) is an individual licensed practical nurse in Putnam, Connecticut, licensed in Connecticut (038592) and active in the NPI registry since May 2015.

NPPES Registry Identity

NPI1700264090
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameANGIE BOLDUC
Location Address391 POMFRET STPutnam, CT 06260-1852
Mailing Address2 Waterside Xing Ste 401Windsor, CT 06095-1588 · (860) 731-5522 · Fax (860) 731-5536
Fax(860) 963-4979
Sole ProprietorNo
Enumeration DateMay 7, 2015
Last NPPES UpdateOctober 15, 2020
NPPES CertifiedOctober 15, 2020
NPI 1700264090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License Licensed in CT · 038592
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
Also ListedCounselorTaxonomy 101Y00000X
391 POMFRET ST, Putnam, CT 06260

Other Names 1

Former Name (1)Angie Verraneault

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.

Counselor (Addiction (Substance Use Disorder))
391 POMFRET ST
PUTNAM, CT 06260
Licensed Practical Nurse
391 POMFRET ST
PUTNAM, CT 06260
Counselor
391 POMFRET ST
PUTNAM, CT 06260
Registered Nurse
391 POMFRET ST
PUTNAM, CT 06260
Registered Nurse
391 POMFRET ST
PUTNAM, CT 06260
Registered Nurse
391 POMFRET ST
PUTNAM, CT 06260
Registered Nurse
391 POMFRET ST
PUTNAM, CT 06260
Registered Nurse
391 POMFRET ST
PUTNAM, CT 06260

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 Angie Bolduc's NPI number?

The NPI number for Angie Bolduc is 1700264090. It was assigned to this individual provider in the NPPES registry on May 7, 2015. The provider is also known as Angie Verraneault.

Where is Angie Bolduc located?

Angie Bolduc practices at 391 Pomfret St, Putnam, CT 06260. The listed phone number is (860) 963-4971.

What is Angie Bolduc's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Angie Bolduc was last updated on October 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.