Diane Boulai, LPN is a
Licensed Practical Nurse based in Riverdale, Georgia. Diane Boulai is licensed to practice in Georgia (license number LPN061853) and her current practice location is
6944 Highway 85 Ste F, Riverdale, Georgia. She can be reached at her office (for appointments etc.) via phone at
(770) 683-6946.
NPI number for Diane Boulai is 1437442803 and her current mailing address is 361 Cliffhaven Cir, Newnan, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1437442803.
Healthcare Provider's Profile
| Full Name | Diane Boulai |
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| Gender | Female |
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| Speciality | Licensed Practical Nurse |
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| Location | 6944 Highway 85 Ste F, Riverdale, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1437442803
- Provider Enumeration Date: 05/18/2011
- Last Update Date: 02/12/2024
Medical Identifiers
Medical identifiers for Diane Boulai such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1437442803 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 164W00000X | Licensed Practical Nurse | LPN061853 (Georgia) | 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. Diane Boulai 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 |
|---|
Diane Boulai, LPN
361 Cliffhaven Cir,
Newnan, GA 30263-6358
Ph: (678) 477-3476 | Diane Boulai, LPN
6944 Highway 85 Ste F,
Riverdale, GA 30274-2960
Ph: (770) 683-6946 |
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