Individual
LEA-AMBER BOLDUC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
10238 E HAMPTON AVE STE 501, MESA, AZ 85209-3321
(480) 889-1573
Mailing address
10238 E HAMPTON AVE, MESA, AZ 85209-3316
(480) 889-1573
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
257873
AZ
Other
Enumeration date
06/04/2021
Last updated
03/08/2022
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