Teresa Faye Boudrie RN

NPI 1053541326 - Registered Nurse - 163WE0003X

NPI Details
NPI 1053541326
Gender Female
Enumeration Date 07/21/2009
Last Updated 07/21/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
650 JOEL DR
FORT CAMPBELL KY, 42223-5318, US
Phone (270) 798-8500
Fax (270) 798-8666
Business Location
9215 ELKHORN RD
SPRINGVILLE TN, 38256-4962, US
Phone (731) 336-2598
Fax
Toxanomy
Taxonomy Code 163WE0003X
License State Tennessee
License Number 130082
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According to our database, Mrs. Teresa Faye Boudrie RN NPI is 1053541326, taxonomy code is 163WE0003X and license number is 130082, license state is located at Tennessee. Teresa Faye Boudrie RN physically located at 650 Joel Dr, Fort Campbell KY, 42223-5318. NPI Number Teresa Faye Boudrie RN has the Individual type.

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1053541326 NPI number is provided on an as is basis without warranty of any kind. 1053541326 is maintained by the National Plan & Provider Enumeration System. The contents of Teresa Faye Boudrie RN are for informational purposes only.