LYNNE BOUDAH
NPI 1760859870
Licensed Practical Nurse in Ferndale, MI
- Individual
- Female
- Licensed Practical Nurse
About LYNNE BOUDAH
This page provides the complete NPI Profile along with additional information for Lynne Boudah, a provider established in Ferndale, Michigan with a medical specialization in Licensed Practical Nurse. The healthcare provider is registered in the NPI registry with number 1760859870 assigned on August 2015. The practitioner's primary taxonomy code is 164W00000X with license number 4703038966 (MI). The provider is registered as an individual and her NPI record was last updated 11 years ago.
- NPI
- 1760859870 Verify this NPI
- Provider Name
- LYNNE BOUDAH
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 487 E WOODLAND ST FERNDALE, MI 48220
- Location Phone
- (313) 828-2213
- Mailing Address
- 487 E WOODLAND ST FERNDALE, MI 48220
- Mailing Phone
- (313) 828-2213
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 08-24-2015
- Last Update Date
- 08-24-2015
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Licensed Practical Nurse
- Taxonomy Code
- 164W00000X
- Type
- Nursing Service Providers
- License No.
- 4703038966
- License State
- MI
- Taxonomy Description
- 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.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1760859870, enumerated as an "individual" on August 24, 2015.
The provider is located at 487 E WOODLAND ST FERNDALE, MI 48220 and the phone number is (313) 828-2213.
Licensed Practical Nurse with taxonomy code 164W00000X.
