MELINDA BOUDREAU
NPI 1912883265
Nurse Practitioner in Riverview, FL

Q: What is Melinda Boudreau's NPI number?

The NPI number for Melinda Boudreau is 1912883265. It was assigned to this individual provider in the NPPES registry on August 13, 2025. The provider is also known as Melinda Walser-Boudreau.

Q: What is Melinda Boudreau'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 Melinda Boudreau was last updated on August 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 August 13, 2025

12635 EVINGTON POINT DR, RIVERVIEW, FL 33579(813) 394-7907 Get Directions Write a Review

NPPES record last updated: August 13, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Melinda Boudreau NPPES

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

MELINDA BOUDREAU (NPI 1912883265) is an individual nurse practitioner in Riverview, Florida, licensed in Florida (11041605) and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1912883265

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMELINDA BOUDREAU

Location Address12635 EVINGTON POINT DRRiverview, FL 33579-4060

Mailing Address12635 Evington Point DrRiverview, FL 33579-4060

Phone(813) 394-7907

Sole ProprietorYes

Enumeration DateAugust 13, 2025

NPPES CertifiedAugust 13, 2025

✔ NPI 1912883265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in FL · 11041605

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.

12635 EVINGTON POINT DR, Riverview, FL 33579

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Other Names 1

Former Name (1)Melinda Walser-boudreau

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 Melinda Boudreau's NPI number?

The NPI number for Melinda Boudreau is 1912883265. It was assigned to this individual provider in the NPPES registry on August 13, 2025. The provider is also known as Melinda Walser-Boudreau.

Where is Melinda Boudreau located?

Melinda Boudreau practices at 12635 Evington Point Dr, Riverview, FL 33579. The listed phone number is (813) 394-7907.

What is Melinda Boudreau's specialty?

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

When was this NPI record last updated?

The NPPES record for Melinda Boudreau was last updated on August 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.