Individual provider · Type 1 NPI

Renella Boullion, APRN, FNP-BC

Pediatric Nurse Practitioner · Livingston, TX

NPI number 1003442906 Active

About NPI 1003442906

Renella Boullion, APRN, FNP-BC's National Provider Identifier is 1003442906, issued on Mar 23, 2020. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Livingston, TX. The record was last updated on Jul 14, 2022.