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

Genevieve Josee Boudreau, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1407641137

Genevieve Josee Boudreau, MD is a Student in an Organized Health Care Education/Training Program in Wilmington, North Carolina. Licensed in North Carolina and Wisconsin. Registered with an NPI since 2025.

Licensed in
NC, WI
In the registry since
2025
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2131 S 17th St
Wilmington, NC 28401-7407
Phone: (910) 343-7000
Fax: (910) 667-5650
Show map & directions

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

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence RTL26-0888 (NC)
Surgery Physician Taxonomy 208600000X · Licence 101517851 (WI)

Record details

NPI number1407641137
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 12, 2025
Last updated in NPPESJuly 9, 2026
Certification dateJuly 9, 2026

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