Angie Bolduc
Licensed Practical Nurse in Putnam, Connecticut
1700264090- Practice location
- 391 Pomfret St, Putnam, CT 06260-1852
- Phone
- 860-963-4971
- Fax
- 860-963-4979
- Last updated
- October 15, 2020
Angie Bolduc is a Licensed Practical Nurse based in Putnam, CT. Angie Bolduc practices in Putnam, CT. The NPI Number for Angie Bolduc is 1700264090 and holds a License No. 038592 (CT). The current practice location address for Angie Bolduc is 391 Pomfret St, Putnam, CT 06260-1852 and can be reached out via phone at 860-963-4971 and via fax at 860-963-4979.
Provider Profile Details
- NPI Number
- 1700264090
- Provider Name
- Angie Bolduc
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 391 Pomfret St, Putnam, CT 06260-1852
- Phone Number
- 860-963-4971
- Fax Number
- 860-963-4979
- Primary Taxonomy
- Licensed Practical Nurse · 164W00000X
- Sole Proprietor
- No
- Other Names
- Angie Verraneault (Former Name)
- Provider Enumeration Date
- May 7, 2015
- Last Update Date
- October 15, 2020
- Certification Date
- October 15, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 391 Pomfret St
Putnam, CT 06260-1852 - City
- Putnam
- State
- Connecticut
- Zip
- 06260-1852
- Phone Number
- 860-963-4971
- Fax Number
- 860-963-4979
Provider Business Mailing Address Details
- Address
- 2 Waterside Xing Ste 401
Windsor, CT 06095-1588 - City
- Windsor
- State
- CT
- Zip
- 06095-1588
- Phone Number
- 860-731-5522
- Fax Number
- 860-731-5536
License Information
- Taxonomy (1)
- Counselor · 101Y00000X
- License Number (2)
- 038592
- License State (2)
- CT
- Taxonomy (2)
- Licensed Practical Nurse · 164W00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Angie Bolduc?
The NPI number of Angie Bolduc is 1700264090. It was assigned on May 7, 2015 and is currently active in the NPPES registry.
What is the specialty of Angie Bolduc?
Angie Bolduc is registered under the primary taxonomy Licensed Practical Nurse (code 164W00000X), licensed in CT under license number 038592.
Where does Angie Bolduc practice?
The practice location is 391 Pomfret St, Putnam, CT 06260-1852. The office can be reached at 860-963-4971 (phone) or 860-963-4979 (fax).
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 1700264090 directly on the NPPES registry website.