Tina Bolduc, is a
Registered Nurse based in Willmar, Mississippi. Tina Bolduc is licensed to practice in Minnesota (license number 2351566) and her current practice location is
301 Becker Ave Sw, Willmar, Mississippi. She can be reached at her office (for appointments etc.) via phone at
(320) 251-2700.
NPI number for Tina Bolduc is 1821781881 and her current mailing address is 301 Becker Ave Sw, Willmar, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1821781881.
Provider's Profile
Full Name | Tina Bolduc |
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Gender | Female |
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Speciality | Registered Nurse |
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Location | 301 Becker Ave Sw, Willmar, Mississippi |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1821781881
- Provider Enumeration Date: 05/26/2023
- Last Update Date: 05/26/2023
Medical Identifiers
Medical identifiers for Tina Bolduc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1821781881 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | 2351566 (Minnesota) | 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. Tina 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 |
Tina Bolduc, 301 Becker Ave Sw, Willmar, MN 56201-3302 Ph: (320) 251-2700 | Tina Bolduc, 301 Becker Ave Sw, Willmar, MS 56271 Ph: (320) 251-2700 |
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