Individual
MS. PATRICIA ANN BOULLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
096007245ZN5
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
096009245ZN5
NURSING LICENSE NUMBER
OR
05
—
83621
—
OR
05
—
9618216
—
WA
Enumeration date
11/20/2006
Last updated
03/07/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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