Individual provider · Type 1 NPI

Brianna Boulanger

Student in an Organized Health Care Education/Training Program · Albuquerque, NM

NPI number 1508725235 Active

Practice location

901 Rio Grande Blvd NW Ste G252
Albuquerque, NM 87104-2050

Call (505) 702-8112 Map

Fax (505) 355-2611

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1508725235

Brianna Boulanger's National Provider Identifier is 1508725235, issued on Jan 19, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Albuquerque, NM. The record was last updated on Jan 19, 2026.