Mary Boudreau

Registered Nurse · Beverly, MA

Individual Active NPI

NPI number 1902259054

Practice location

800 Cummings Ctr
Suite 364-U
Beverly, MA 01915-6175
Phone
(978) 338-1726
Fax
(978) 922-6468

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NPI record

NPI
1902259054
Entity type
Individual (Type 1)
Enumeration date
July 13, 2016
Last updated
July 13, 2016
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Registered Nurse Primary 163W00000X 88086 MA

About Mary Boudreau

Mary Boudreau is a healthcare provider registered in the NPI registry with the primary taxonomy Registered Nurse (code 163W00000X). The practice location is 800 Cummings Ctr, Suite 364-U, Beverly, MA 01915-6175. The NPI number 1902259054 was assigned on July 13, 2016 and the record was last updated on July 13, 2016.

Mary Boudreau lists a license in the registry: #88086 (MA) for Registered Nurse. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mary Boudreau?

The NPI number is 1902259054.

What is the phone number of Mary Boudreau?

The phone number listed for the practice location is (978) 338-1726.

Where is Mary Boudreau located?

800 Cummings Ctr, Suite 364-U, Beverly, MA 01915-6175.

What is the taxonomy code for Mary Boudreau?

The primary taxonomy code is 163W00000X – Registered Nurse.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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