Individual
MRS. JULIE ANNE BOLDUC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1200 S COLUMBIA RD - ALTRU HOSPITAL, GRAND FORKS, ND 58201
(701) 780-6000
(701) 780-1942
Mailing address
2401 DEMERS AVE, GRAND FORKS, ND 58201
(701) 780-1891
(701) 780-1942
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R27908
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
759118000
—
MN
Enumeration date
12/13/2006
Last updated
02/26/2019
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