Individual provider · Type 1 NPI

Lisa Marie Boulais, RN, CNS

Registered Nurse · Mountain House, CA

NPI number 1245828094 Active

Practice location

92 Sean Ave
Mountain House, CA 95391-1053

Mailing address

1 Cvs Dr
Woonsocket, RI 02895-6195

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X428299 (CA)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1245828094

Lisa Marie Boulais, RN, CNS's National Provider Identifier is 1245828094, issued on Jan 7, 2021. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Mountain House, CA. The record was last updated on Jan 7, 2021.