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Mrs. Nicole M Boudreaux, PA-C
Emergency Medicine Physician in Princess Anne, Maryland
NPI 1699231894

Nicole M Boudreaux is a Emergency Medicine Physician based in Berlin, MD. Nicole M Boudreaux practices in Princess Anne, MD and has the professional credentials of PA-C. The NPI Number for Nicole M Boudreaux is 1699231894 and holds a License No. C0007122 (Maryland).

The current practice location address for Nicole M Boudreaux is 12302 Somerset Ave Ste Ab, Princess Anne, MD and can be reached out via phone at 410-651-0300.

Location: 12302 Somerset Ave Ste Ab, Princess Anne, MD, 21811-2023
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699231894
Provider Name
Nicole M Boudreaux
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
12302 Somerset Ave Ste Ab, Princess Anne, MD, 21811-2023
Phone Number
410-651-0300
Fax Number
Provider Enumeration Date
02/13/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
C0007122 01 MD MARYLAND MEDICAL LICENSE
institution
Provider Business Practice Location Address Details
Address
12302 Somerset Ave Ste Ab
City
Princess Anne
State
Maryland
Zip
21853-3099
Phone Number
410-651-0300
Fax Number
person
Provider Business Mailing Address Details
Address
12302 Somerset Ave Ste Ab
City
Princess Anne
State
Maryland
Zip
21853-3099
Phone Number
410-651-0300
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
-
Taxonomy
207P00000X
License No.
C0007122 (Maryland)
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
C0007122 (Maryland)
Definition
Definition to come...
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