Individual
MAKENSIE BOULGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
225 EAGLE CREST DR, RANGELY, CO 81648-2104
(970) 675-5011
Mailing address
95 COUNTY ROAD 101, RANGELY, CO 81648-2011
(435) 340-0857
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1644596
CO
Other
Enumeration date
04/23/2026
Last updated
04/23/2026
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