Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Anthony Boudreau, AGPCNP

Individual provider Nurse Practitioner · NPI 1558075432

Anthony Boudreau, AGPCNP is a Nurse Practitioner in Colorado Springs, Colorado. Qualified in 2021, 5 years ago. Practices with Renue U Medspa PC, a 3-clinician group and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
5
Licensed in
CO
In the registry since
2023
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

559 Vincent St
Colorado Springs, CO 80914-1541
Phone: (719) 556-1128
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence APN.0998339-NP (CO)

Record details

NPI number1558075432
Entity typeIndividual (Type 1)
GenderMale
Credentials AGPCNP
Sole proprietorNo
NPI enumeratedJanuary 6, 2023
Last updated in NPPESJanuary 6, 2023
Certification dateJanuary 5, 2023
Mailing address559 Vincent St, Peterson Space Force Base, CO 80914

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Renue U Medspa Pc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Colorado Springs