Individual
GENEVIEVE C BOULAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
400 W 16TH ST, PUEBLO, CO 81003-2745
(719) 584-4420
Mailing address
1218 N MAIN ST, PUEBLO, CO 81003-2828
(719) 533-7877
(719) 543-7882
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
184463
CO
367500000X
Certified Registered Nurse Anesthetist
480224
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
184463
COLORADO LICENSE
CO
Enumeration date
12/03/2007
Last updated
06/02/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us