Individual
MRS. KAREN RIMANICH BOUDREAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
4430 MISSOURI AVE, FORT LEONARD WOOD, MO 65473-9098
(735) 961-6805
Mailing address
4430 MISSOURI AVE, FORT LEONARD WOOD, MO 65473-9098
(573) 596-1680
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R592382
MS
363LF0000X
Family Nurse Practitioner
AP07127
LA
363LF0000X
Family Nurse Practitioner
R592382
MS
Other
Enumeration date
03/08/2006
Last updated
02/07/2023
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