Individual
MS. DEIDRE ALLEN BOULTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
72 CO RD HWY 304, CALERA, AL 35040
(205) 319-0000
(205) 319-8004
Mailing address
72 COUNTY ROAD HWY 304, CALERA, AL 35040
(205) 319-8000
(205) 319-8000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-098081
AL
Other
Enumeration date
07/12/2013
Last updated
08/22/2025
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