Individual
MS. GABRIELLE BOUDREAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, WHNP
Contact information
Practice address
506 6TH ST, BROOKLYN, NY 11215-3609
(860) 384-5142
Mailing address
110 LIVINGSTON ST APT 10M, BROOKLYN, NY 11201-5063
(860) 384-5142
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
F421657
NY
Other
Enumeration date
09/21/2023
Last updated
11/06/2023
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