Mrs Jeanne M Boudrieau, ARNP | |
1450 Northwest Ln Se, Providence St. Peter Clinic At Panorama, Lacey, WA 98503-6908 | |
(360) 491-4460 | |
(360) 491-3090 |
Full Name | Mrs Jeanne M Boudrieau |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1450 Northwest Ln Se, Lacey, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669445359 | NPI | - | NPPES |
9621798 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | AP30004530 (Washington) | Primary |
Entity Name | Sea-mar Community Health Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811051170 PECOS PAC ID: 7315831161 Enrollment ID: O20040211001210 |
Mailing Address | Practice Location Address |
---|---|
Mrs Jeanne M Boudrieau, ARNP 1450 Northwest Ln Se, Providence St. Peter Clinic At Panorama, Lacey, WA 98503-6908 Ph: (360) 491-4460 | Mrs Jeanne M Boudrieau, ARNP 1450 Northwest Ln Se, Providence St. Peter Clinic At Panorama, Lacey, WA 98503-6908 Ph: (360) 491-4460 |
Cynthia A Ramsey, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1350 Marvin Rd Ne Ste D, Lacey, WA 98516 Phone: 888-227-3312 Fax: 360-413-6509 | |
Sheree Harvey, DNP, ARNP, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 669 Woodland Square Loop Se, Lacey, WA 98503 Phone: 360-359-4840 | |
Jodi Fischer, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1450 Northwest Ln Se Ste A, Lacey, WA 98503 Phone: 360-491-4460 Fax: 360-491-3090 | |
Carrie Welty, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2555 Marvin Rd Ne, Pmg Sw Wa Hawks Prairie Fm, Lacey, WA 98516 Phone: 360-413-4200 | |
Consilia Samkia Yeluma, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 606 Woodland Square Loop Se, Lacey, WA 98503 Phone: 360-359-8951 | |
Mr. Prachanda Khadka, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2555 Marvin Rd Ne, Lacey, WA 98516 Phone: 360-413-4200 Fax: 360-413-4225 | |
Meghan Neal, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1350 Marvin Rd Ne Ste D, Lacey, WA 98516 Phone: 888-227-3312 |