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Diane Boulai, LPN
Licensed Practical Nurse in Riverdale, Georgia
NPI 1437442803

Diane Boulai is a Licensed Practical Nurse based in Newnan, GA. Diane Boulai practices in Riverdale, GA and has the professional credentials of LPN. The NPI Number for Diane Boulai is 1437442803 and holds a License No. (Georgia).

The current practice location address for Diane Boulai is 6944 Highway 85 Ste F, Riverdale, GA and can be reached out via phone at 770-683-6946 and via fax at 770-683-6949.

Location: 6944 Highway 85 Ste F, Riverdale, GA, 30263-6358
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1437442803
Provider Name
Diane Boulai
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
6944 Highway 85 Ste F, Riverdale, GA, 30263-6358
Phone Number
770-683-6946
Fax Number
770-683-6949
Provider Enumeration Date
05/18/2011
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
6944 Highway 85 Ste F
City
Riverdale
State
Georgia
Zip
30274-2960
Phone Number
770-683-6946
Fax Number
770-683-6949
person
Provider Business Mailing Address Details
Address
6944 Highway 85 Ste F
City
Riverdale
State
Georgia
Zip
30274-2960
Phone Number
770-683-6946
Fax Number
770-683-6949
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
LPN061853 (Georgia)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
()
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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