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Renella Boullion, APRN,FNP-BC
Pediatric Nurse Practitioner in Livingston, Texas
NPI 1003442906

Renella Boullion is a Pediatric Nurse Practitioner based in Livingston, TX and is specialized in Pediatrics. Renella Boullion practices in Livingston, TX and has the professional credentials of APRN,FNP-BC. The NPI Number for Renella Boullion is 1003442906 and holds a License No. AP145643 (Texas).

The current practice location address for Renella Boullion is 400 Ogletree Dr, Livingston, TX and can be reached out via phone at 936-328-8812.

Location: 400 Ogletree Dr, Livingston, TX, 77351-6783
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Provider Profile Details
NPI Number
1003442906
Provider Name
Renella Boullion
Credential
APRN,FNP-BC
Provider Entity Type
Individual
Gender
Female
Address
400 Ogletree Dr, Livingston, TX, 77351-6783
Phone Number
936-328-8812
Fax Number
Provider Enumeration Date
03/23/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
AP145643 05 TX
AP145643 01 TX PRIVATE INSURANCE
institution
Provider Business Practice Location Address Details
Address
400 Ogletree Dr
City
State
Zip
77351-6783
Phone Number
936-328-8812
Fax Number
person
Provider Business Mailing Address Details
Address
400 Ogletree Dr
City
State
Zip
77351-6783
Phone Number
936-328-8812
Fax Number
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Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
AP145643 (Texas)
Definition
Definition to come...
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