NPI 1346534864 · live from the CMS NPI Registry
Michelle M. Boudreau, D.O.
Psychiatry & Neurology, Neurology in Fort Myers, FL. National Provider Identifier 1346534864, active.
NPI record
| NPI | 1346534864 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Neurology 2084N0400X |
| Practice location | 11215 Metro Pkwy Ste 1, Fort Myers, FL 33966 |
| Practice phone | 239-208-2212 |
| Enumerated | June 1, 2011 |
| Last updated | December 19, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Neurology | 2084N0400X | DO191076 (OR) |
| Psychiatry & Neurology, Neurology | 2084N0400X | OD019097 (PA) |
| Psychiatry & Neurology, Neurology | 2084N0400X | 18849 (NH) |
| Psychiatry & Neurology, Neurology | 2084N0400X | 15039 (ND) |
| Psychiatry & Neurology, Neurology | 2084N0400X | 34.013330 (OH) |
| Psychiatry & Neurology, Neurology | 2084N0400X | 5101023728 (MI) |
| Psychiatry & Neurology, Neurology | 2084N0400X | 51008 (CT) |
| Psychiatry & Neurology, Neurology | 2084N0400X | TM00756 (TX) |
| Psychiatry & Neurology, Neurology | 2084N0400X | 293760 (NY) |
| Psychiatry & Neurology, Neurology | 2084N0400X | 2020005820 (MO) |
| Psychiatry & Neurology, Neurology | 2084N0400X | OS15070 (FL) |
| Psychiatry & Neurology, Neurology primary | 2084N0400X | 17443 (CA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.