Angie Bolduc, is a
Licensed Practical Nurse based in Putnam, Connecticut. Angie Bolduc is licensed to practice in Connecticut (license number 038592) and her current practice location is
391 Pomfret St, Putnam, Connecticut. She can be reached at her office (for appointments etc.) via phone at
(860) 963-4971.
NPI number for Angie Bolduc is 1700264090 and her current mailing address is 2 Waterside Xing Ste 401, Windsor, Connecticut. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1700264090.
Healthcare Provider's Profile
Full Name | Angie Bolduc |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 391 Pomfret St, Putnam, Connecticut |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1700264090
- Provider Enumeration Date: 05/07/2015
- Last Update Date: 10/15/2020
Medical Identifiers
Medical identifiers for Angie Bolduc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1700264090 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
164W00000X | Licensed Practical Nurse | 038592 (Connecticut) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Angie Bolduc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Angie Bolduc, 2 Waterside Xing Ste 401, Windsor, CT 06095-1588 Ph: (860) 731-5522 | Angie Bolduc, 391 Pomfret St, Putnam, CT 06260-1852 Ph: (860) 963-4971 |
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