Individual
ELAINE J BUDREAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2600 FERRY ST, LAFAYETTE, IN 47904
(765) 448-8000
Mailing address
1200 W WHITE RIVER BLVD, MUNCIE, IN 47303-4988
(877) 668-5621
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28168529A
IN
363LP0200X
Pediatric Nurse Practitioner
Primary
71008189A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300018609
—
IN
Enumeration date
05/14/2018
Last updated
02/02/2021
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