Boudria, Michelle C

Boudria, Michelle C is an individual health care provider with primary practice located at 1902 Windsor Pl Ste 102 , Fort Worth TX 76110-1866. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Boudria, Michelle C can be contacted via phone (682) 207-1700.

Contact Information

Primary practice address
1902 Windsor Pl Ste 102 Fort Worth TX 76110-1866
Phone: (682) 207-1700
Fax: (682) 250-5246
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 636309 Texas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP115310 Texas

Profile Details

NPI number 1578641445
LBN Legal business name Boudria, Michelle C
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Mar 31st, 2021 - about 5 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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