Active NPIIndividual provider

Lisa M Boulais, RN, CNS

Registered Nurse in Mountain House, California

NPI Number1245828094
Practice location
92 Sean Ave, Mountain House, CA 95391-1053
Fax
—
Last updated
January 7, 2021

Lisa Marie Boulais is a Registered Nurse based in Mountain House, CA. Lisa Marie Boulais practices in Mountain House, CA and has the professional credentials of RN, CNS. The NPI Number for Lisa Marie Boulais is 1245828094 and holds a License No. 428299 (CA). The current practice location address for Lisa Marie Boulais is 92 Sean Ave, Mountain House, CA 95391-1053 and can be reached out via phone at 408-858-1340.

Provider Profile Details

NPI Number
1245828094
Provider Name
Lisa Marie Boulais
Credential
RN, CNS
Provider Entity Type
Individual
Gender
Female
Address
92 Sean Ave, Mountain House, CA 95391-1053
Phone Number
408-858-1340
Primary Taxonomy
Registered Nurse · 163W00000X
Sole Proprietor
No
Provider Enumeration Date
January 7, 2021
Last Update Date
January 7, 2021
Certification Date
January 7, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
92 Sean Ave
Mountain House, CA 95391-1053
Zip
95391-1053
Phone Number
408-858-1340
Mountain House, CA 95391Get directions →

Provider Business Mailing Address Details

Address
1 CVS Dr
Woonsocket, RI 02895-6195
City
Woonsocket
State
RI
Zip
02895-6195

License Information

License Number
428299
License State
CA
Taxonomy
Registered Nurse · 163W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Registered Nurses near Mountain House, CA

View all Registered Nurses in Mountain House →
No other indexed providers in Mountain House yet.

Frequently Asked Questions

What is the NPI number of Lisa M Boulais, RN, CNS?

The NPI number of Lisa M Boulais, RN, CNS is 1245828094. It was assigned on January 7, 2021 and is currently active in the NPPES registry.

What is the specialty of Lisa M Boulais, RN, CNS?

Lisa M Boulais, RN, CNS is registered under the primary taxonomy Registered Nurse (code 163W00000X), licensed in CA under license number 428299.

Where does Lisa M Boulais, RN, CNS practice?

The practice location is 92 Sean Ave, Mountain House, CA 95391-1053. The office can be reached at 408-858-1340 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1245828094 directly on the NPPES registry website.

Browse related providers