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Individual

MEGAN MARY BOISSONNAULT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
3100 E FLETCHER AVE, TAMPA, FL 33613-4613
(813) 971-6000
Mailing address
PO BOX 110429, AURORA, CO 80042-0429

Taxonomy

Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN9383365
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
0100469
CO
367500000X
Certified Registered Nurse Anesthetist
APRN11005430
FL

Other

Enumeration date
09/04/2019
Last updated
06/17/2025
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