Individual
MRS. JEANNE M BOUDRIEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1450 NORTHWEST LN SE, PROVIDENCE ST. PETER CLINIC AT PANORAMA, LACEY, WA 98503-6908
(360) 491-4460
(360) 491-3090
Mailing address
1450 NORTHWEST LN SE, PROVIDENCE ST. PETER CLINIC AT PANORAMA, LACEY, WA 98503-6908
(360) 491-4460
(360) 491-3090
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP30004530
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9621798
—
WA
Enumeration date
02/11/2006
Last updated
02/27/2014
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