Boudoir, Carla Renea

Boudoir, Carla Renea is an individual health care provider with primary practice located at 18342 Kerrville Trl , Lakeville MN 55044-7310. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Boudoir, Carla Renea can be contacted via phone (612) 275-2739.

Contact Information

Primary practice address
18342 Kerrville Trl Lakeville MN 55044-7310
Phone: (612) 275-2739
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 7376 Minnesota

Profile Details

NPI number 1255953626
LBN Legal business name Boudoir, Carla Renea
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2020
Last updated May 8th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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