Individual
ALYCIA BUFORD BOUDREAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
19605 MORDEN BLUSH DR, LUTZ, FL 33558-9087
(813) 433-3929
Mailing address
19605 MORDEN BLUSH DR, LUTZ, FL 33558-9087
(813) 433-3929
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11002140
FL
Other
Enumeration date
05/29/2019
Last updated
01/28/2020
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