Individual
DENISE JEAN BOUDREAUX-NIPPERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3584 W 9000 S, SUITE 206, WEST JORDAN, UT 84088-5710
(801) 561-2227
(801) 561-5353
Mailing address
3584 W 9000 S, SUITE 206, WEST JORDAN, UT 84088-5710
(801) 561-2227
(801) 561-5353
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
5414306-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
212969
LABOR & IND. WA STATE
WA
05
—
247321
—
OR
05
—
8462897
—
WA
01
—
8942479
CRIME VICTIMS WA STATE
WA
Enumeration date
08/23/2006
Last updated
08/31/2010
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