Individual
MRS. LADY-THELMA W BOLDUC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
30 WINTER ST, BOSTON, MA 02108-4720
(617) 426-0660
Mailing address
30 WINTER ST, BOSTON, MA 02108-4720
(617) 426-0600
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2283758
MA
171M00000X
Case Manager/Care Coordinator
—
—
363LF0000X
Family Nurse Practitioner
Primary
RN2283758
MA
Other
Enumeration date
07/08/2010
Last updated
11/28/2018
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