CAROL DIANE MITCHELL-BOUDREAU FNP-BC
NPI 1962705236
Nurse Practitioner - Family in Southborough, MA
Active since December 08, 2010
About Carol Diane Mitchell-boudreau Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CAROL DIANE MITCHELL-BOUDREAU FNP-BC (NPI 1962705236) is an individual family provider in Southborough, Massachusetts, licensed in Massachusetts (173636) and active in the NPI registry since December 2010.
NPPES Registry Identity
NPI1962705236
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCAROL DIANE MITCHELL-BOUDREAUCredential: FNP-BC
Location Address33 TURNPIKE ROADSouthborough, MA 01772-2108
Mailing Address33 Turnpike RoadSouthborough, MA 01772-2108 · (508) 481-1015 · Fax (508) 303-8542
Phone(508) 481-1015
Fax(508) 303-8542
Sole ProprietorNo
Enumeration DateDecember 8, 2010
Last NPPES UpdateApril 10, 2012
✔ NPI 1962705236 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 MA · 173636
33 TURNPIKE ROAD, Southborough, MA 01772
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1962705236, enumerated as an "individual" on December 08, 2010.
The provider is located at 33 TURNPIKE ROAD SOUTHBOROUGH, MA 01772 and the phone number is (508) 481-1015.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.
