Active NPIIndividual providerSole proprietor

Lillian Boudreau, SRNA

Student in an Organized Health Care Education/Training Program in Portland, Maine

NPI Number1548148471
Practice location
716 Stevens Ave, Portland, ME 04103-2656
Fax
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Last updated
August 27, 2025

Lillian Boudreau is a Student in an Organized Health Care Education/Training Program based in Portland, ME. Lillian Boudreau practices in Portland, ME and has the professional credentials of SRNA. The NPI Number for Lillian Boudreau is 1548148471. The current practice location address for Lillian Boudreau is 716 Stevens Ave, Portland, ME 04103-2656 and can be reached out via phone at 207-283-0171.

Provider Profile Details

NPI Number
1548148471
Provider Name
Lillian Boudreau
Credential
SRNA
Provider Entity Type
Individual
Gender
Female
Address
716 Stevens Ave, Portland, ME 04103-2656
Phone Number
207-283-0171
Sole Proprietor
Yes
Provider Enumeration Date
August 27, 2025
Last Update Date
August 27, 2025
Certification Date
August 27, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
716 Stevens Ave
Portland, ME 04103-2656
State
Maine
Zip
04103-2656
Phone Number
207-283-0171
Portland, ME 04103Get directions →

Provider Business Mailing Address Details

Address
63 Lenox St
Quincy, MA 02169-3406
City
Quincy
State
MA
Zip
02169-3406
Phone Number
781-500-1122

License Information

Legacy Identifiers

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

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Frequently Asked Questions

What is the NPI number of Lillian Boudreau, SRNA?

The NPI number of Lillian Boudreau, SRNA is 1548148471. It was assigned on August 27, 2025 and is currently active in the NPPES registry.

What is the specialty of Lillian Boudreau, SRNA?

Lillian Boudreau, SRNA is registered under the primary taxonomy Student in an Organized Health Care Education/Training Program (code 390200000X).

Where does Lillian Boudreau, SRNA practice?

The practice location is 716 Stevens Ave, Portland, ME 04103-2656. The office can be reached at 207-283-0171 (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 1548148471 directly on the NPPES registry website.

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