Boudreau, Taylor K

Boudreau, Taylor K is an individual health care provider with primary practice located at 242 Green St , Gardner MA 01440-1336. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Boudreau, Taylor K can be contacted via phone (978) 632-3420.

Contact Information

Primary practice address
242 Green St Gardner MA 01440-1336
Phone: (978) 632-3420
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X RN2279791 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN2279791 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN2279791 Massachusetts

Profile Details

NPI number 1437502630
LBN Legal business name Boudreau, Taylor K
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2016
Last updated Apr 16th, 2025 - about last year

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 1437502630 NPPES
Massachusetts MEDICAID 110118892A

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