Individual provider · Type 1 NPI

Melinda Boudreau

Nurse Practitioner · Riverview, FL

NPI number 1912883265 Active

Practice location

12635 Evington Point Dr
Riverview, FL 33579-4060

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X11041605 (FL)

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 1912883265

Melinda Boudreau's National Provider Identifier is 1912883265, issued on Aug 13, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Riverview, FL. The record was last updated on Aug 13, 2025.