Lea-Amber Bolduc, NP
Nurse Practitioner, Acute Care in Mesa, AZ. Individual provider (NPI-1).
NPI number1336716752
StatusActive
Last updated in NPPESMar 8, 2022
Details
- NPI
- 1336716752
- Entity type
- Individual (NPI-1)
- Name
- Lea-Amber Bolduc
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 4, 2021
- Certification date
- Mar 8, 2022
- Last updated
- Mar 8, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2100X | Nurse Practitioner, Acute Care | 257873 | AZ | Yes |
Practice location
10238 E Hampton Ave Ste 501Mesa, AZ 85209-3321
Phone 480-889-1573
Mailing address
10238 E Hampton AveMesa, AZ 85209-3316
Phone 480-889-1573
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