Individual provider · Type 1 NPI
Lauren Boudreaux
Nurse Practitioner · Charleston, SC
Practice location
171 Ashley Ave
Charleston, SC 29425-4001
Mailing address
PO Box 751461
Charlotte, NC 28275-1461
Other practice locations
- 1601 Greene St, Columbia, SC 29208-4001 · (843) 259-1069
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Nurse Practitioner Primary | 363L00000X | 25748 (SC) |
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 1891379095
Lauren Boudreaux's National Provider Identifier is 1891379095, issued on May 12, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Charleston, SC. The record was last updated on Aug 4, 2022.