Individual
MS. KRISTI MCDONALD BOUDREAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
154 GOVERNMENT CENTER DR, MOCKSVILLE, NC 27028-6299
(336) 477-2233
(336) 450-1744
Mailing address
200 E 2ND AVE, GASTONIA, NC 28052-4358
(704) 874-1936
(704) 865-4614
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5018585
NC
363LF0000X
Family Nurse Practitioner
AP07307
LA
363LP2300X
Primary Care Nurse Practitioner
AP07307
LA
Other
Enumeration date
07/20/2013
Last updated
08/07/2023
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