Whalio Doctors

NPI 1053541326

Teresa Faye Boudrie, RN

Practitioner Emergency Registered Nurse Fort Campbell, KY

Practice location

Address
650 Joel Dr, Fort Campbell, KY 42223-5318
Phone
(270) 798-8500
Fax
(270) 798-8666
Mailing address
9215 Elkhorn Rd, Springville, TN 38256-4962

Registered specialties

Emergency Registered Nurse Primary
Nursing Service Providers Taxonomy 163WE0003X Licence 130082 (TN)

Registry record

NPI
1053541326
Entity type
Individual
Sex (as registered)
Female
NPI issued
21 Jul 2009
Record last updated
21 Jul 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.