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CAROL DIANE MITCHELL-BOUDREAU FNP-BC
NPI 1962705236
Nurse Practitioner - Family in Southborough, MA

Active since December 08, 2010
33 TURNPIKE ROAD, SOUTHBOROUGH, MA 01772(508) 481-1015(508) 303-8542 Get Directions Write a Review

NPPES record last updated: April 10, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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
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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.

ALYSSA WETMORE
Developmental Therapist
33 TURNPIKE ROAD
SOUTHBOROUGH, MA 01772
Worcester County (508) 481-1015
ERIC GREENBERG MA, BCBA, LABA
Behavior Analyst
33 TURNPIKE ROAD
SOUTHBOROUGH, MA 01772
Worcester County (508) 418-1015
ALEX MONTIMOR
Developmental Therapist
33 TURNPIKE ROAD
SOUTHBOROUGH, MA 01772
Worcester County (508) 481-1015
ANNA CAROLAN
Developmental Therapist
33 TURNPIKE ROAD
SOUTHBOROUGH, MA 01772
Worcester County (508) 481-1015
GABRIELLE ALEXANDRA CLARK
Behavior Technician
33 TURNPIKE ROAD
SOUTHBOROUGH, MA 01772
Worcester County (508) 481-1015

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 Carol Mitchell-boudreau's NPI number?

The NPI number for Carol Mitchell-boudreau is 1962705236. It was assigned to this individual provider in the NPPES registry on December 8, 2010.

Where is Carol Mitchell-boudreau located?

Carol Mitchell-boudreau practices at 33 Turnpike Road, Southborough, MA 01772. The listed phone number is (508) 481-1015.

What is Carol Mitchell-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 Carol Mitchell-boudreau was last updated on April 10, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.