Boudreau, Mylene

Boudreau, Mylene is an individual health care provider with primary practice located at 75 E Mcbee Ave , Greenville SC 29601-2737. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Boudreau, Mylene can be contacted via phone (864) 241-5199.

Contact Information

Primary practice address
75 E Mcbee Ave Greenville SC 29601-2737
Phone: (864) 241-5199
Fax: (864) 241-5198
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 19745 South Carolina

Profile Details

NPI number 1356715957
LBN Legal business name Boudreau, Mylene
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 19th, 2015
Last updated May 5th, 2017 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1356715957 NPPES
South Carolina Other APN.19745 SC BOARD OF NURSING

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