Individual provider · Type 1 NPI

Kristi McDonald Boudreaux, NP-C

Family Nurse Practitioner · Mocksville, NC

NPI number 1669814513 Active

Practice location

154 Government Center Dr
Mocksville, NC 27028-6299

Fax (336) 450-1744

Mailing address

200 E 2nd Ave
Gastonia, NC 28052-4358

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000XAP07307 (LA)
Primary Care Nurse Practitioner 363LP2300XAP07307 (LA)
Family Nurse Practitioner Primary 363LF0000X5018585 (NC)

Family Nurse Practitioner: Definition to come...

15 other providers at this address

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About NPI 1669814513

Kristi McDonald Boudreaux, NP-C's National Provider Identifier is 1669814513, issued on Jul 20, 2013. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Mocksville, NC. The record was last updated on Aug 7, 2023.