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

Michelle Theresa Boudreaux, NP

Individual provider Critical Care Neonatal Nurse Practitioner · NPI 1861413585

Michelle Theresa Boudreaux, NP is a Critical Care Neonatal Nurse Practitioner in Madison, Wisconsin. Practices as a sole proprietor. Licensed in Louisiana and Wisconsin.

Licensed in
LA, WI
In the registry since
2006
Specialties on file
3
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

202 S Park St
Madison, WI 53715-1507
Phone: (608) 417-6236
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Critical Care Neonatal Nurse Practitioner (primary) Taxonomy 363LN0005X · Licence 21936-875 (WI)
Critical Care Neonatal Nurse Practitioner Taxonomy 363LN0005X · Licence RN047884 (LA)
Pediatric Nurse Practitioner Taxonomy 363LP0200X · Licence RN047884 (LA)

Record details

NPI number1861413585
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorYes
NPI enumeratedJuly 21, 2006
Last updated in NPPESMarch 7, 2022
Certification dateMarch 7, 2022

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