Caroline Collins Boudrias, APRN
Nurse Practitioner, Family in Port St Lucie, FL. Individual provider (NPI-1).
NPI number1316628779
StatusActive
Last updated in NPPESJul 28, 2023
Details
- NPI
- 1316628779
- Entity type
- Individual (NPI-1)
- Name
- Caroline Collins Boudrias
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 28, 2023
- Certification date
- Jul 28, 2023
- Last updated
- Jul 28, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 11027587 | FL | Yes |
Practice location
11380 Sw Village PkwyPort St Lucie, FL 34987-2388
Phone 772-286-9400
Mailing address
11380 Sw Village PkwyPort St Lucie, FL 34987-2388
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