Individual provider · Type 1 NPI
Carla Renea Boudoir, CNP
Nurse Practitioner · Minneapolis, MN
Practice location
1 Veterans Dr
Minneapolis, MN 55417-2309
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 7376 (MN) |
| Registered Nurse | 163W00000X | 1618132 (MN) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1255953626
Carla Renea Boudoir, CNP's National Provider Identifier is 1255953626, issued on May 8, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Minneapolis, MN. The record was last updated on Mar 17, 2026.