Teresa Faye Boudrie, RN Valid NPI

Individual provider · Emergency Registered Nurse · Fort Campbell, KY

NPI

1053541326

Type

Individual (Type 1)

Primary specialty

Emergency Registered Nurse (Registered Nurse)

Specialty group

Nursing Service Providers

Taxonomy code

163WE0003X

License number

130082 (TN)

Sex

Female

Sole proprietor

No

Enumerated

2009-07-21

Last updated

2009-07-21