Monique Boudreau, LPN
Individual provider Active NPI Licensed Practical Nurse · Woonsocket, RI
NPI 1154628980 · NPPES record last updated Feb 14, 2011
Key facts
- NPI
- 1154628980
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 06693 (RI)
- Practice address
- 1625 Diamond Hill Rd
Woonsocket, RI 02895-1541 - Phone
- (401) 762-1511
- NPI assigned
- Feb 14, 2011
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06693 | RI | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 06693 | RI | Yes |
Addresses
Primary practice location
1625 Diamond Hill Rd
Woonsocket, RI 02895-1541
Mailing address
5 Kathryn St
Cumberland, RI 02864-7322
Phone (401) 636-0438
Other providers in Woonsocket, RI
- Maximilian Bonnici
- Thepdara Boriboun
- Christine Borino
- Jeannine Marie Borozny
- Jason David Boucher
- David M Bourassa
- George Bourganos
- Robert R Bowden
- Daniel Adam Bowens
- Jessica C Boyd
All providers in Woonsocket, RI · Licensed Practical Nurse in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 14, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.