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Angie Bolduc
Licensed Practical Nurse in Putnam, Connecticut
NPI 1700264090

Angie Bolduc is a Licensed Practical Nurse based in Windsor, CT. Angie Bolduc practices in Putnam, CT. The NPI Number for Angie Bolduc is 1700264090 and holds a License No. (Connecticut).

The current practice location address for Angie Bolduc is 391 Pomfret St, Putnam, CT and can be reached out via phone at 860-963-4971 and via fax at 860-963-4979.

Location: 391 Pomfret St, Putnam, CT, 06095-1588
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700264090
Provider Name
Angie Bolduc
Credential
Provider Entity Type
Individual
Gender
Female
Address
391 Pomfret St, Putnam, CT, 06095-1588
Phone Number
860-963-4971
Fax Number
860-963-4979
Provider Enumeration Date
05/07/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
391 Pomfret St
City
Putnam
State
Connecticut
Zip
06260-1852
Phone Number
860-963-4971
Fax Number
860-963-4979
person
Provider Business Mailing Address Details
Address
391 Pomfret St
City
Putnam
State
Connecticut
Zip
06260-1852
Phone Number
860-963-4971
Fax Number
860-963-4979
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
038592 (Connecticut)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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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