Individual provider · Type 1 NPI

Amina Boudaia

Nurse Practitioner · Greenwood, IN

NPI number 1912736638 Active

Practice location

655 US Highway 31 S
Greenwood, IN 46142-3061

Mailing address

PO Box 603725
Charlotte, NC 28260-3725

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X71015582A (IN)

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 1912736638

Amina Boudaia's National Provider Identifier is 1912736638, issued on Jul 31, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Greenwood, IN. The record was last updated on Oct 1, 2025.